HomeMy WebLinkAbout188109 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364448 Page 1 of 1
ONE CIVIC SQUARE JENNIFER WEBB
CARMEL, INDIANA 46032 526 CARROLL DR CHECK AMOUNT: $35.00
WESTFIELD IN 46074 CHECK NUMBER: 188109
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 458001 35.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 458001
Payment Date: 06/30110
Household 31015
Moron Community Center Jennifer Webb Hm Ph: (614)595 -4474
Carmel IN 46032 526 Carroll Dr.
Westfield IN 46074 Cell Ph:
jenniferlynn93 @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 35.00
Pass Holder: Jennifer Webb Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MC Adit Mthly (M MCAM), #94763 271.00 0.00 0.00 271.00 0.00
Valid Dates: 01/10/2010 to 09/gQ12D-1-0—( Pass- C ancellation)
Cancel Rea upgraded to household pass, it was under a duplicate household—pro ho�i setiold
merge today.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/30110 11:44:21 by TLP FEES CHANGED ON CANCELLED ITEMS 306.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 271.00
NET AMOUNT FROM CANCELLED ITEMS 35.00
TOTAL AMOUNT REFUNDED 35.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FIN ith Reference
All refund subject to a Board cc s claim proce ure and may take 4 -6 weeks to process. A check will be
issue o cash orr-credi c d refun
A rized Signat Da Authorized Signature Date
l
r
J UL 1010
BY
Page 1
1 s
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Webb, Jennifer Terms
526 Carroll Dr Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6130110 458001 Refund 35.00
Total 35.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Webb, Jennifer Allowed 20
526 Carroll Dr
Westfield, IN 46074
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 458001 4358400 35.00 1 hereby certify that the attached 'invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
15 -Jul 2010
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund