191370 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 364835 Page 1 of 1
ONE CIVIC SQUARE VIRGINIA SPENCER
CARMEL, INDIANA 46032 677 NEWBURY ST #1224 CHECK AMOUNT: $225.00
CARMEL IN 46032 CHECK NUMBER: 191370
CHECK DATE: 10127/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4356400 225.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 527279
Payment Date: 10/11/10
Household 31818
Monon Community Center NORR Virginia Spencer Hm Ph: (317)370 -4560
Carmel IN 46032 677 Newbury St 1224
0c i y 2010 Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275 v.pamlico @gmail.com
Fed Tax I D #35- 6000972 BY:...
Pass Details
MEMBERSHIP CHANGE Refund Of 225.00
Pass Holder: Virginia Spencer Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: UnGrpFit Annual (M UGFA), #109992 75.00 0.00 75.00 0.00 0.00
Valid Dates: 06/15/2010 to 06/15/2011 Pass Change)
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/11!10 06:22:38 by LWW FEES ADJUSTED ON CHANGED ITEMS 225.00
NETA'MQUNT'FROW"CHANGED °ITEMS 225:00
TOzTAL,AMOUNT�REFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 225.00 Made By REFUND FINAN With Reference check refund
All refunds are subject to State Board of Accounts claim procedure and may tak weeks to process. A check will be
issued. No cash or credit card refunds.
LWjlq�)q cc, lo. i 1.2o ip -7 I t
Authorized Signature Date Aut �,o r' ed Signa re D
T he Monon Community Center is a one -stop shop! Why drive all day searching for your local garage safe? Come to our
Community Garage Sale and leisurely browse through all sorts of item. 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.
Spencer, Virginia Terms
677 Newbury St. 1224 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/11110 527279 Refund 225.00
Total 225.00
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.
Spencer, Virginia Allowed 20
677 Newbury St. 1224
Carmel, IN 46032
In Sum of
225.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO #or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1096 -22 527279 4358400 225.00 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
225.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund