HomeMy WebLinkAbout188241 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364493 Page 1 of 1
ONE CIVIC SQUARE EUGENIE BAUM
CARMEL, INDIANA 46032 10567 POWER DRIVE CHECK AMOUNT: $19.00
CARMEL IN 46033
CHECK NUMBER: 188241
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 486581 19.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 486581
Payment Date: 07/26/10
Household 2421
Monon Community Center Eugenie Baum Hm Ph: (337)574 -9363
Carmel IN 46032 10567 Power Dr. Wk Ph: (317)733 -6420
Carmel IN 46033 Cell Ph: (317)946 -2818
Phone: (317)848 -7275 ebaum @ccs.k12.in.us
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 19.00
Pass Holder: Eugenie Baum Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MC HH Mthly (M MCHHM), #106972 76.00 0.00 76.00 0.00 0.00
Valid Dates: 05/18/2010 to 05/18/2011 Pass Cancellation)
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/26/10 15:16:59 by TLP FEES ADJUSTED ON CHANGED ITEMS 19.00
NET AMOUNT FROM CHANGED ITEMS 19.00-
TOTAL AMOUNT REFUNDED 19.00 V
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 19.00 Made REFUND With Reference
All refunds are subject t Sta Boar o is claim procedure and may take 4 -6 weeks to process. A check will be
issued. No c r cre c d refu s
'Authorized Signature Date Authorized Signature Date
Enjoy your escape at the MCC.
PA�
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Baum, Eugenie Terms
10567 Power Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7126110 486581 Refund 19.00
Total 19.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1 -6
1 20
Clerk- Treasurer
I
Voucher No. Warrant No.
Baum, Eugenie Allowed 20
10567 Power Dr
Carmel, IN 46033
In Sum of$
19.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 486581 4358400 19.00 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
29 -Jul 2010
I P
Signature
19.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund