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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! ca 60 1010 Page tf 1 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