188113 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364449 Page 1 of 1
ONE CIVIC SQUARE PAIGE WEST
CARMEL, INDIANA 46032 ACO 1ST AD CHECK AMOUNT: $78.00
CMR 467 BOX 501 CHECK NUMBER: 188113
APO AE 09096
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 471003 78.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 471003
Payment Date: 07/12/10
Household 35795
Monon Community Center CO. P-F Paige West Hm Ph: (317)846 -7345
Carmel IN 46032 C�R �{(y1 Uo'� 50 -1846 Awewweod Dr
(kP0 �E 09Gg1� cell P h:
paige.west @mac.com
Pftone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orin Bal Refund New Bai
Module: Activity Registration 78.00 78.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 78.00
Processed on 07/12/10 14:01:42 by CNA NEW REFUND AMOUNT 78.00
TOTAL REFUNDABLE- AMOUNT 78.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 78.00 Made By REFUND FINAN With Reference advanced request: pee vuee golf
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
7 /10
&e a vq I I
Au orized Signature Date Autq6ed Signature Date
w,
JUL
1 4 2010
109 �L 00
pe e wee C) 1 Page 1
a- vanck& C- -qm+
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.
Terms
West, Paige
Date Due
A Co. 1st AD
CMR 467 Box 501
APO AE 09096
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
78.00
7112110 471003 Refund
Total 78.00
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.
West, Paige Allowed 20
A Co. 1 st AD
CMR 467 Box 501
APO AE 09096 In Sum of
78.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 32 471003 4358400 78.00 1 hereby certify that the attached invcice(s), or
bills) 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
1
B UY SO Me
puot
Signature
Accounts Payable Coordinator
Title