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HomeMy WebLinkAbout192109 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364877 Page 1 of 1 0 ONE CIVIC SQUARE JOHN HUNT CHECK AMOUNT: $19.00 CARMEL, INDIANA 46032 10665MACPHERSON INDIANAPOLIS IN 46280 CHECK NUMBER: 192109 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 19.00 REFUNDS AWARDS INDE PASS REFUND RECEIPT 7 P7 Tn 9 t� T� 17,, Receipt 535649 Payment Date: 11/05/2010 N OV Household 34681 Home Phone: (317)844 7496 Work Phone: (317) (,v rr Monon Community Center 10665 MACPHERSON Carmel IN 46032 INDIANAPOLIS IN 46280 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details MEMBERSHIP CHANGE Refund Of 19.00 Pass Holder: Greg Hunt Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: FIT Senr Mnthly (XM FTSM), #105374 95.00 0.00 95.00 0.00 0.00 Valid Dates: 05/01/2010 to 01/14/2011 Pass Cancellation) Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee nMonthly Fitness Pas 95.00 1.00 0.00 0.00 95.00 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 11/05/10 18:51:50 by TLP FEES ADJUSTED ON CHANGED ITEMS 19.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 SALES TAX CHARGED ON CHANGED FEES 0.00 `NET. 'AM OUNT-FROM:`C HANG E© IT.EMS.. �'i M19 00 TOTAL` °AMOUNTT,REFUNDED b "'I NEW NET HOUSEHOLD BALANCE 0.00 Refund of 19.00 Made By REFUND FINAN With Refere a deceased 10/12/10 All refunds are subject to St t Board A�counts claim proce ure -and -may tak eeks process. A check will be issued. No cash -or credi ca refu j 1,9.10 V. honzed ignatur ate Aft on ;Signat a Date 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, Hunt, John Terms 10665 Macpherson Date Due Indianapolis, IN 46280 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1115110 535649 Refund 19.00 Total 19.00 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. Hunt, John Allowed 20 10665 Macpherson Indianapolis, IN 46280 In Sum of 19.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center Dept or r Board Members INVOICE NO. ACCT #!TITLE AMOUNT 1092 535649 4358400 19.00 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 18 -Nov 2010 Signature 19.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund