189900 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364699 Page 1 of 1
ONE CIVIC SQUARE GUY MASCARO
CARMEL, INDIANA 46032 14427 MISTY PINE COURT CHECK AMOUNT: $95.00
CARMEL IN 46032
CHECK NUMBER: 189900
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 95.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 516130
Payment Date: 09/06/10
Household 26204
Monon Community Center Guy Mascaro Hm Ph: (317)848 -2903
Carmel IN 46032 14427 Misty Pine Ct.
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 95.00
Pass Holder: Guy MBscaro Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MC HH Mthly (M MCHHM), #65057 285.00 0.00 285.00 0.00 0.00
Valid Dates: 04112/2010 to 04125/2011 Pass Cancellation)
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/06/10 09:56:49 by TLP FEES ADJUSTED ON CHANGED ITEMS 95.00
NET AMOUNT FROM CHANGED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 95.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 95.00 Ma notate By REFU FI AN With Reference
All refunds subject Bo `f A counts claim procedure and may take 4 -6 weeks to process. A check will be
Issue rqo cash or crud card re ds
t o ized ignat e Date Authorized Signature Date
Don't forget to register for St.Vincent Tour de Carmel taking place on Saturday, September 11. Visit
www.carmelclayparks.com for more information or https:l/rec.themononcenter.com/ to register!
If you have already registered for the event, you may pick up your goodie bag at the MCC East Building on September 7 from
5 -8pm, September 8 from 9am -1 pm, or September 9 from 5 -8pm. �ry
325 C 0 7 2010
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.
Mascaro, Guy Terms
14427 Misty Pine Ct. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
916110 516130 Refund 95.00
Total 95.00
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.
Mascaro, Guy Allowed 20
14427 Misty Pine Ct.
Carmel, IN 46032
In Sum of$
95.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 516130 4358400 95.00 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
9 -Sep 2010
&Mn'02
Signature
95.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund