HomeMy WebLinkAbout189378 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364638 Page 1 of 1
ONE CIVIC SQUARE JENNIFER HUFFORD
CARMEL, INDIANA 46032 280 POKAGON DRIVE CHECK AMOUNT: $55.50
CARMEL IN 46032 CHECK NUMBER: 189378
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 55.50 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 502674
Payment Date: 08/12/10
Household 29642
Monon Community Center Jennifer Hufford Him Ph: (317)566 -9869
Carmel IN 46032 280 Pokagon Dr
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 55.50
Pass Holder: Cole Hufford Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: KZ 50 Visit (M Z50), #76821 19.50 0.00 19.50 0.00 0.00
Valid Dates: 05/06/2010 to 08/06/2011 Pass Cancellation)
Pass Visit into: Number of Visits: 37
Cancel Reason: prorated request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/12/10 10:41:21 by LVA FEES CHANGED ON CANCELLED ITEMS 55.50
NET AMOUNT FROM CANCELLED ITEMS 55.50
TOTAL AMOUNT REFUNDED 55.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 55.50 Made By REFUND FINAN With Reference prorated request
All refunds are subject to State Board of Accounts claim procedure and may tak 4 -6 weeks to process. A check will be
issue o cash or credit card refunds.
Authorized Signa a Date Aut on d Signatur Date
ENJOY YOUR ESCAPE!
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMFL
An invoice of bill to be property itemized must show kind of service, where performed, dates service rendered, by
whom, rates per day, slumber of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Hufford, Jennifer Terms
280 Pokagon Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8112110 502674 Refund 55.50
Total 55.50
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.
Hufford, Jennifer Allowed 20
280 Pokagon Dr
Carmel, IN 46032
In Sum of
55.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -42 502674 4358400 55.50 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
26 -Aug 2010
Signature
55.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund