HomeMy WebLinkAbout190961 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: T359159 Page 1 of 1
0 ONE CIVIC SQUARE ANN SMITH
y' r CARMEL, INDIANA 46032 413 SHOEMAKER DR CHECK AMOUNT: $217.96
CARMEL IN 46032 CHECK NUMBER: 190961
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 524608 217.96 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 524608
Payment Date: 09/28/10
Household 3314
Monon Community Center Ann Smith Hm Ph: (317)569 -1359
Carmel IN 46032 413 Shoemaker Drive
Carmel IN 46032 Cell Ph:
smiths46032 @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bai Refund New Bal
Module. Pass Management 217.96- 217.96 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 217.96
Processed on 09/26/10 15:18:50 by TLP NEW REFUND AMOUNT 217.96
(j TOTAL REFUNDABLE AMOUNT 217.96
L L)��� NEW NET HOUSEHOLD BALANCE 0.00
Refund of 2 17.96 Made By REFUND FINAN With Reference credit from M MCAA
All refunds are subject to S# Board of coAns laim procedure and may take 4 -6 weeks to process. A check will be
issued. or cre it'car efunds z
i 1
Authorized Signatuv 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.
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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.
Smith, Ann Terms
413 Shoemaker Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9128110 524608 Refund 217.96
Total 217.96
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.
Smith, Ann Allowed 20
413 Shoemaker Drive
Carmel, IN 46032
In Sum of
217.96
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO #or INVOICE NO, ACCT# /TITLE AMOUNT Board Members
Dept
1092 524608 4358400 217.96 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
217.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund