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Home My WebLink About190293 09/29/2010 a CITY OF CARMEL, INDIANA VENDOR: 364737 Page 1 of 1 ONE CIVIC SQUARE VIDYA HARISH CHECK AMOUNT: $264.00 s,?o CARMEL, INDIANA 46032 9830 SKIPPING ROCK LANE CARMEL IN 46033 CHECK NUMBER: 190293 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 264.00 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt 518957 Payment Date: 09/13/10 Household 16193 Woodbrook Elementary Vidya Harish Hm Ph: (317)581 -0322 4311 East 116th Street 9830 Skipping Rock Lane Wk Ph: (317) Carmel IN 46033 Carmel IN 46033 Cell Ph: vharish @gmail.com Phone: (317)$4 &7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 64.00 Pass Holder. Kavya Harish Fees Tax Discount Prey Paid Cur Paid Amount Due Pass Type: Sep Month PM (ESEMSP), #80972 0.00 0.00 0.00 0.00 0.00 Valid Dates: 09/07/2010 to 10101/2010 Pass Cancellation) Cancel Reason: Switched from Monthly to weekly and Drop in visits. NUP CANCELLATION Refund Of 200.00 Pass Holder. Rajeev Harish Fees Tax Discount Emy Paid Cur Paid Amount Due Pass Type: Sep Month PM (ESEMSP), #117355 0.00 0.00 0.00 0.00 0.00 Valid Dates: 09/07/2010 to 10/01/2010 Pass Cancellation) Cancel Reason: Switched from Monthly to weekly and Drop in visits. NUP The following Rem reflects a payment towards a previous receipt Pass Holder. Kavya Harish Fees Tax Discount Prey Paid Cur Paid A =unt Pass Type: Drop -In Visit (ESEDROP), #117506 14.00 0.00 0.00 14.00 0.00 Valid Dates: 08/10/2010 to 05/26/2011 Pass Change) Pass Visit Info: Number of Visits: 1 The following Rem reflects a payment towards a previous receipt Pass Holder. Kavya Harish Fees Tax Discount Prey Paid Cur Paid Amount Due Pass Type: 4 -5 Week 5 PM (ESE4505P), #117508 54.00 0.00 0.00 54.00 0.00 Valid Dates: 09/07/2010 to 09/1012010 Pass Change) The following item reflects a payment-towards a previous receipt Pass Holder. Rajeev Harish Fees Tax Discount Prey Paid Cur Paid Amount QLle Pass Type: Drop -In Visit (ESEDROP), #117507 14.00 0.00 0.00 14.00 0.00 Valid Dates: 08/10/2010 to 05/26/2011 Pass Change) Pass Visit Info: Number of Visits: 1 The following item reflects a payment towards a previous receipt Pass Holder: Rajeev Harish Fefts Tax Discount Prev Paid Cur Paid Amount Due Pass Type: -4 -5 Week 5 PM (ESE4505P), #117509 54.00 0.00 0.00 54.00 0.00 Valid Dates: 09/07/2010 to 09/10/2010 Pass Change) PREVIOUS NET HOUSEHOLD BALANCE 136.00 Processed on 09/13/10 11:05:41 by NUP FEES CHANGED ON CANCELLED ITEMS 400.00 NeT AMOUNT!wxom CANCF -LLt iTEMS 4oQao FEES ADJUSTED ON CHANGED ITEMS 0.00 Page 1 PASS REFUND RECEIPT Receipt 518957 Payment Date: 09/13/2010 Household 16193 NET ANIQUNFROM:CN/WG€D >17EMS' is 000::: HH BALANCE APPLIED TO THIS RECEIPT 136.00 TQT AMAMOUNT.REF.UNDED 264 t0_i'> NEW NET HOUSEHOLD BALANCE 0.00 Refund of 264.00 Made By REFUND FINAN With Reference Payment of 136.00 Made By Pass Management Credit Balance All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be u o cash or re dit card refunds. Authorized igna re Date Authorized Signature Date Register today for Family Campout at www.carmelclayparks.com! Friday- Saturday, September 24 -25 from 4:30pm -9am Fee is $40 /family West Park, 2700 W 116th Street ON n Sty 1 5 2010 BY Page 2 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. Harish, Vidya Terms 9830 Skipping Rock Lane Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/13/10 518957 Refund 264.00 Total 264.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Harish, Vidya Allowed 20 9830 Skipping Rock Lane Carmel, IN 46033 In Sum of 264.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -11 518957 4358400 264.00 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 23 -Sep 2010 Signature 264.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund