HomeMy WebLinkAbout191867 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364866 Page 1 of 1
ONE CIVIC SQUARE APRIL TRAGESSER
CARMEL INDIANA 46032 1123 LENINGER DR CHECK AMOUNT: $84.62
TIPTON IN 46072
CHECK NUMBER: 191867
CHECK DATE: 1111012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 15.62 PARKS DEPARTMENT REFU
1096 4358400 69.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 534913
Payment Date: 11/02/10
Household 26090
Monon Community Center April Tragesser Hm Ph; (765)346 -3062
Carmel IN 46032 1123 Leininger Dr
Tipton IN 46072 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 15.62
Pass Holder: April Tragesser Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MC Adlt Mthly (M ~CAM), #87795 364.38 0.00 0.00 364.38 0.00
Valid Dates: 1 111 712 00 9 to 11/1712010 Pass Cancellation)
Cancel Reason: cancelled over the phone.
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 69.00
Processed on 11102/10 14:02:01 by TLP FEES CHANGED ON CANCELLED ITEMS 380.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 364.38
NET AMOUNT FROM CANCELLED ITEMS 15.62
HH BALANCE AP PLIED TOTAL MOUNT REFUNDED 84.62
.1� /r ��`/��G',j; J` NEW NET HOUSEHOLD BALANCE 0.00
Refund of 84.62 Made By REFUND FINAN With Reference KZ pass 'MG a nnual
All refunds are subject to State Doa rd /o cZounts claim procedure and may take 4 -6 weeks to process. A check will be
issued., cash or cre I ca
~Authorized Sign ure Date uthori� ig at Date
L a
Ii
NOV 20 10 (d/j
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.
Tragesser, April Terms
1123 Leininger Dr Date Due
Tipton, IN 46072
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1112!10 534913 Refund 69.00
1112110 534913 Refund 15.62
Total 84.62
I hereby certify that the attached invoice(s), or bil1(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.
Tragesser, April Allowed 20
1123 Leininger Dr
Tipton, IN 46072
In Sum of
84.62
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -41 534913 4358400 69.00 1 hereby certify that the attached invoice(s), or
1092 534913 4358400 15.62 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
4 -Nov 2010
12
Signature
84.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund