HomeMy WebLinkAbout188501 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364503 Page 1 of 1
ONE CIVIC SQUARE AARON ROBINSON
CHECK AMOUNT: $90.08
CARMEL, INDIANA 46032 boa SUPER STAR CT
CARMEL IN 46032 CHECK NUMBER: 188501
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 490041 90.08 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 490041
Payment Date: 07/30/10
Household 32193
Monon Community Center Aaron Robinson Hm Ph: (317)848 -6931
Carmel IN 46032 504 Super Star Ct
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 90.08
Pass Holder: Aaron Robinson Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: FIT Adit Mnthiy (XM FTAM), #90350 149.92 0.00 0.00 149.92 0.00
Valid Dates: 12/14/2009 to 12/14/2010 Pass Cancellation)
Cancel Reas going back to school...
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/30/10 09:36:11 by TLP FEES CHANGED ON CANCELLED ITEMS 240.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 149.92
NET AMOUNT FROM CANCELLED ITEMS 90.08-
1 TOTAL AMOUNT REFUNDED 90.Q8
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 90.08 Made By REFUND FiNAN With Reference
All refun e su bjects tat Board of nts claim procedure and may take 4 -6 weeks to process. A check will be
is�ta No cash or credit car refunds.
Authorized Sign1f re Date Authorized Signature Date
Enjoy your escape at the MCC.
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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.
Robinson, Aaron Terms
504 Super Star Ct Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7130/10 490041 Refund 90.08
Total 90.08
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,
Robinson, Aaron Allowed 20
504 Super Star Ct
Carmel, IN 46032
In Sum of
90.08
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 490041 4358400 90.08 i 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
Signature
90.08 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund