190928 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364784 Page 1 of 1
ONE CIVIC SQUARE ARUNA RAMKARANSINGH
+a CHECK AMOUNT: $67.50
CARMEL, INDIANA 46032 13318 MERCER ST
CARMEL IN 46032 CHECK NUMBER: 190928
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 525100 67.50 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 525100
Payment Date: 09/30/10
Household 18075
Monon Community Center Aruna Ramkaransingh Hm Ph: (317)569 -8596
Carmel IN 46032 13318 Mercer St
Carmel IN 46032 Cell Ph: (434)409-1454
acr789@mac.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 67.50
Pass Holder: Vir Ramkaransingh Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: KZ 50 Visit (M Z50), #24749 7.50 0.00 7.50 0.00 0.00
Valid Dates: 05/13/2008 to 12/31/2099 Pass Cancellation)
Pass Visit info: Number of Visits: 45
Cancel Reason: prorated request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/30/10 13:36:27 by LVA FEES CHANGED ON CANCELLED ITEMS 67.50-
NET AMOUNT'FROM CANCELLED;ITEMS `67.50-
TOTAL AMOUNT.REFUNDED 67:50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 67.50 Made By RE FUND FI NAN With Reference prorated request
All refunds are subject to State Board of Accounts claim procedure and a to -6 weeks to process. A check will be
issue o cash or credit card refunds.
Authorized Sig t re Date A horized ignature 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.
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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,
Ramkaransingh, Aruna Terms
13318 Mercer St. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9130110 525100 Refund 67.50
Total 67.50
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.
Ramkaransingh, Aruna Allowed 20
13318 Mercer St.
Carmel, IN 46032
In Sum of
67.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -41 525100 4358400 67.50 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
67.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund