HomeMy WebLinkAbout189981 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364703 Page 1 of 1
ONE CIVIC SQUARE MARY KAY RUST
CARMEL, INDIANA 46032 12144 PEBBLEPOINTE PASS CHECK AMOUNT: $150.00
CARMEL IN 46033
CHECK NUMBER: 189981
CHECK DATE: 9/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 150.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 515301
Payment Date: 09/02/10
Household 5124
Monon Community Center Mary Kay Rust Hm Ph: (317)574 -9136
Carmel IN 46032 12144 Pebblepointe Pass Wk Ph: (317)276 -0379
Carmel IN 46033 Cell Ph:
mkrust@indy.rr.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
OrIQ Bal Refund New Bal
Module: Activity Registration 150.00- 150.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 150.00
Processed on 09/02/10 09:25:41 by LVA NEW REFUND AMOUNT 150.00
TOTAL REFUNDABLE AMOUNT 150.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 150.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss�t ad. No cash or credit card refunds.
Authorized S' nature Date Authoriz d 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: /rec.themononcenter.com/ to register!
It 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.
c i to l C ac tyls P �a�
To �UXR
SEt 0 2 2 0l o
]BY:........
Page N 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.
Rust, Mary Kay Terms
12144 Pebblepointe Pass Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
912110 515301 Refund 150.00
i
s
i
Total 150.00
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.
Rust, Mary Kay Allowed 20
12144 Pebblepointe Pass
Carmel, I N 46033
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 515301 4358400 150.00 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
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund