HomeMy WebLinkAbout190423 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364745 Page 1 of 1
i ONE CIVIC SQUARE ALISON PELLETIERE
CARMEL, INDIANA 46032 13758 HILL CREST COURT CHECK AMOUNT: $69.00
CARMEL IN 46032
CHECK NUMBER: 190423
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 69.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 522307
Payment Date: 09/15/10
Household 6079
Carmel Clay Parks Recreation Alison Pelletiere Hm Ph: (317)580 -9517
1235 Central Park Drive East 13758 Hill Crest Court
Carmel IN 46032 Carmel IN 46032 Cell Ph: (317)319 -5352
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 69.00
Pass Holder: Alison Pelletiere Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: KZ 50 Visit (M Z50), #14383 6.00 0.00 6.00 0.00 0.00
Valid Dates: 08/18/2009 to 12/31/2099 Pass Change)
Pass Visit Info: Number of Visits: 46
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/15/10 12:41:15 by LVA FEES ADJUSTED ON CHANGED ITEMS 69.00
NET AMOUNT FROM CHANGED ITEMS 69.00 -r
TOTAL` AMOUNT: REFUNDED, 69:00,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 69.00 Made By REFUND FINAN With Reference included in pass
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. cash or credit and refunds.
9/15/10
Authorized Sign atur Date 4Authqf1zed Sig azure 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
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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.
Pelletiere, Alison Terms
13758 Hill Crest Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9115110 522307 Refund 69.00
Total 69.00
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.
Pelletiere, Alison Allowed 20
13758 Hill Crest Court
Carmel, IN 46032
In Sum of
69.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -41 522307 4358400 69.00 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
69.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund