HomeMy WebLinkAbout191984 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364874 Page 1 of 1
Q� ONE CIVIC SQUARE INGRID ASH CHECK AMOUNT: $31.50
CARMEL, INDIANA 46032 11130 WESTFIELD BLVD
CARMEL IN 46032 CHECK NUMBER: 191984
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTIO
1092 4358400 31.50 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 541106
Payment Date: 11/17/10
Household 33479
Carmel Clay Parks Recreation Ingrid Ash Hm Ph: (317)512 -1485
1235 Central Park Drive East 11130 Westfield Blvd.
Carmel IN 46032 Carmel IN 46032 Cell Ph:
ingride83 @hotmall.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 31.50
Pass Holder: Ingrid Ash Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Corp 10 Adult (CORP 1 OA), #98956 252.00 0.00 0.00 252.00 0.00
Valid Dates: 02/16/2010 to 12/10/2010 Pass Cancellation)
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 11/17/10 12:10:28 by ABK FEES CHANGED ON CANCELLED ITEMS 283.50
SURCHARGE APPLIED AGAINST CANCELLED FEES 252.00-
NET'AMOUNT''FROM CANCELLED ITEMS
[-TOTAL AMOUNT REFUNDED' 31.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 31.50 Made By REFUND With Reference Req cancel earlier
All refunds are su ject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
is o as r re& -card refunds.
I
Authoriz d Signatur Date Authorized Signature Date
NOV 172010
r
BY: ......................m
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.
Ash, Ingrid Terms
11130 Westfield Blvd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bHI(s)) Amount
11/17/10 541106 Refund 31.50
Total 31.50
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.
Ash, Ingrid Allowed 20
11130 Westfield Blvd
Carmel, IN 46032
In Sum of
31.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 541106 4358400 31.50 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
18 -Nov 2010
Signature
31.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund