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191233 10/27/2010 �M CITY OF CARMEL, INDIANA VENDOR: 361459 Page 1 of 1 ONE CIVIC SQUARE NATALIE HOLSTEIN CARMEL, INDIANA 46032 11748 SHAWDOWWOOD COURT CHECK AMOUNT: $45.00 a ZIONSVILLE IN 46077 CHECK NUMBER: 191233 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 45.00 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt 527980 Payment Date: 10 /13 /10 Household 7972 Morton Community Center Natalie Holstein Hm Ph: (317)873 -8610 Carmel IN 46032 11748 Shadowwood Court Wk Ph: (317) Zionsville IN 46077 Cell Ph: (317)690 -2525 Natholstein@SBCGlobal.net Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Oria Bal Refund New Bal Module: Pass Management 45.00- 45.00 0.00 PREVIOUS NET HOUSEHOLD BALANCE 45.00 Processed on 10/13/10 05:50:43 by LVA NEW REFUND AMOUNT O 45.00 TOTA'L =.e' 45:00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 45.00 Made By REFUND FINAN With Reference prorated request 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 card refunds. 1 01 0 to. t3. to Authorized Sign e D to Au on Sign ure Date The Morton 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. I OCT 14 1010 pro "l BY: 2© Pons) Page it 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be property 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. Holstein, Natalie Terms 11748 Shadowwood Court Date Due Zionsville, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/13110 527980 Refund 45.00 Total 45.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Holstein, Natalie Allowed 20 11748 Shadowwood Court Zionsville, IN 46077 In Sum of 45.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1096 -41 527980 4358400 45.00 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 21 -Oct 2010 Signature 45.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund