HomeMy WebLinkAbout191166 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 364829 Page 1 of I
0 ONE CIVIC SQUARE MARY ELLEN COOPER
CARMEL, INDIANA 46032 10777 KNIGHT DRIVE CHECK AMOUNT; $120.00
CARMEL IN 46032
CHECK NUMBER: 191166
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 120.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 531579
Payment Date: 10/18/10
Household 7912
Monon Community Center Mary Ellen Cooper Hm Ph: (317)733 -9675
Carmel IN 46032 10777 Knight Drive Wk Ph: (317)
Carmel IN 46032 Cell Ph: (317)407 -0822
cooperbobm @aol.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Pass Management 120.00- 120.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 120.00
Processed on 10/18/10 11:38:51 by TLP NEW REFUND AMOUNT 120.00
TOTAL REFUNDABLE AMOUNT 120.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 120.00 Made By REFUND FINAN With Refere ce _hh credit.���
All refunds are subject t State Boar Accounts claim procedure and may take 4 -6 weeks to process. A check will be
No-cash-or credit card refu s.
issued
J QQ
20.10
Authorized Signatu a Date Aut onze d Sig ture Dale
O PER
OC 2 12010
BY:
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.
Cooper, Mary Ellen Terms
10777 Knight Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
120.00
10/18/10 531579 Refund
Total 120.00
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.
Cooper, Mary Ellen Allowed 20
10777 Knight Drive
Carmel, IN 46032
In Sum of
120.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 531579 4358400 120.00 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
120.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund