190367 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364743 Page 1 of 1
ONE CIVIC SQUARE KASCU LUEHRMZNN
CARMEL, INDIANA 46032 3265 EDEN PARK DRIVE CHECK AMOUNT: $358.73
F c
CARMEL IN 46033 CHECK NUMBER: 190367
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 358.73 PARKS DEPARTMENT REFU
4
GLOBAL REFUND RECEIPT
Receipt# 523096
Payment Date: 09/20/10
Household 16253
Monon Community Center Kascu Luehrmznn Hm Ph: (317)815 -1718
Carmel IN 46032 3265 Eden Park Dr Wk Ph: (317)657 -6610
Carmel IN 46033 Cell Ph: (317)567 -6610
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Ong Bal Refund New Ball
Module: Pass Management 358.73- 358.73 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 358.73
Processed on 09/20110 15:39:37 by TLP NEW REFUND AMOUNT 358.73
TOTAL REFUNDABLE AMOUNT 358.73
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 358.73 Made By REFUND FINAN With Reference annual hh pass
All refunds are subject o aBoaunts claim procedure and may take 4 -6 weeks to process. A check will be
issu o ca h.or cr d' ca Authorized Signa Date Authorized Signature Date
The Monon Community Center is a one -stop shop! Why drive all day searching for your local garage sale? Come to our
Community Garage Sale and leisurely browse through all sorts of items. The Community Garage Sale will take place Saturday,
October 9 from 10am -4pm at the MCC East Parking Lot. The event is free to the public.
Vendors: The fee for vendors is $5/parking space. You must bring a table /chair, A limited number of tables and chairs will be
available at an additional cost of $5 each. In case of inclement weather, this event will be cancelled. To register, please
contact Sarah or fax your form to 317.573.5243.
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized m st show; k ind of service, of where pr ce performed,
unit et dates service rendered, by
whom, rates per day, number of hours rate
Payee Purchase Order No.
Terms
Luehrmznn, Kascu Date Due
3265 Eden Park Drive
Carmel, IN 46033
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) 358.73
9120110 523096 Refund
Total 358.73
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Luehrmznn, Kascu Allowed 20
3265 Eden Park Drive
Carmel, IN 46033
In Sum of
358.73
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 523096 4358400 358.73 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
�Ojw /K
Signature
358.73 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund