190304 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.
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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.
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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