HomeMy WebLinkAbout190665 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364778 Page 1 of 1
ONE CIVIC SQUARE ANNYMILLA BASSO
CARMEL, INDIANA 46032 3910 DDLAN WAY CHECK AMOUNT: $75.00
WESTFIELD IN 46074 CHECK NUMBER: 190665
CHECK DATE: 10/1312010
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 75.00 PARKS REFUND
PASS REFUND RECEIPT
Receipt# 524541
Payment Date: 09/28/10
Household 15719
Monon Community Center Annymilia Basso Hm Ph: (317)733 -1752
Carmel IN 46032 3910 Dolan Way
Westifield IN 46074 Cell Ph:
Phone: (317)848 -7275 annymiliabasso @uoi.com.br
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 75.00
Pass Holder: Guilherme Basso Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: 20 Visit (ESE20V) #117030 175.00 0.00 175.00 0.00 0.00
Valid Dates: 08/10/2010 to 05/26/2011 Pass Cancellation)
Pass Visit Info: Number of Visits: 6
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/28110 11:18:16 by BJJ FEES CHANGED ON CANCELLED ITEMS 75.00
.,NET AMOUNT FROWCANCELLED]TEMS 75:00
rTOTAt AMOUNT•,REFUNDED'•
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 75.00 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N cash or credit card refunds.
q 3 410
Auihorizq nature Date Authorized Signature Date
The Monon Community Center is a one -stop shop! Why drive all day searching for your focal 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.
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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.
Basso, Annymilia Terms
3910 Dolan Way Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9128/10 524541 Refund 75.00
Total 75.00
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.
Basso, Annymilia Allowed 20
3910 Dolan Way
Westfield, IN 46074
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -10 524541 4358400 75.00 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
7 -Oct 2010
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund