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Home My WebLink About190304 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364739 Page 1 of 1 ONE CIVIC SQUARE LISA HODGIN CHECK AMOUNT: $237.00 CARMEL, INDIANA 46032 4002 IVORY COURT WESTFIELD IN 46074 CHECK NUMBER: 190304 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 237.00 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt 518598 Payment Date: 09/10/10 y� Household 4232 Monon Community Center SEN 201U Lisa Hodgin Hm Ph: (317)733 -0630 Carmel IN 46032 4002 Ivory Ct. Wk Ph: (317)338 -4366 Westfield IN 46074 Cell Ph: (317)431-4442 Phone: (317)848 -7275 Ihodgin @indy.rr.com Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 117.00 Pass Holder: Luke Hodgin Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 1 O -Visit (ESE1 OV), #76463 13.00 0.00 13.00 0.00 0.00 Valid Dates: 08/11/2009 to 05/27/2010 Pass Cancellation) Pass Visit Info: Number of Visits: 9 Cancel Reason: o longer using ESE PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 09/10/10 14:20:42 by BJJ FEES CHANGED ON CANCELLED ITEMS 117.00 NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 1117:00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 117.00 Made By REFUND FINAN With Reference All refunds are su sect to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No ash r credit card refunds. Authori ed gnature 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: /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. 3 Page 1 GLOBAL REFUND RECEIPT Receipt 518581 Payment Date: 09/10/10 Household 4232 Monon Community Center Lisa Hodgin Hm Ph: (317)733 -0630 Carmel IN 46032 S t N 13 201 4002 Ivory Ct. Wk Ph: (317)338 -4366 Westfield IN 46074 Cell Ph: (317)431-4442 Phone: (317)848 -7275 BY: Ihodgin @indy.rr.com Fed Tax ID #35- 6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 95.00- 95.00 0.00 Module: Pass Management 25.00 25.00 0.00 PREVIOUS NET CREDIT HOUSEHOLD BALANCE 120.00 Processed on 09/10/10 13:43:28 by BJJ NEW REFUND AMOUNT 120.00 TOTAL REFUNDABLE AMOUNT 120.00 V NEW NET HOUSEHOLD BALANCE 0.00 Refund of 120.00 Made By REFUND FINAN With Reference All refunds *e subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No ash or credit card refunds. Au orize ignature 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: /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. ll 0 qlV� I �t0LqC- RA J 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. Hodgin, Lisa Terms 4002 Ivory Ct. Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9110110 518598 Refund 117.00 9110110 518581 Refund 120.00 Total T$ 237.00 I 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. Hodgin, Lisa Allowed 20 4002 Ivory Ct. Westfield, IN 46074 In Sum of 237.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -10 518598 4358400 117.00 1 hereby certify that the attached invoice(s), or 1081 -10 518581 4358400 120.00 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 V& Signature 237.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund