HomeMy WebLinkAbout192254 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364881 Page 1 of 1
ONE CIVIC SQUARE SANGEETA SRIVASTAVA
o CARMEL, INDIANA 46032 14439 CHARIOTS WHISPER DRIVE CHECK AMOUNT: $95.00
WESTFIELD IN 46074 CHECK NUMBER: 192254
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 95.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 525330
Payment Date: 10/01/10
Household 23382
Monon Community Center Sangeeta Srivastava Hm Ph: (317)985 -5618
Carmel IN 46032 14439 Chariots Whisper Drive
Westfield IN 46074 Cell Ph: (317)529 -0398
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 95.00
Pass Holder: Sangeeta Srivastava Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MC HH Mthly (M MCHHM), #111942 95.00 0.00 0.00 95.00 0.00
Valid Dates: 07/19/2010 to 07/19/2011 Pass Cancellation)
Cancel Reason: tranferred to adult only pass.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/01/10 14:08 40 by TLP FEES CHANGED ON CANCELLED ITEMS 190.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 95.00
NET AMOUNT FROM CANCELLED ITEMS 95.00
TOTAL AMOUNT REFUNDED 95.00
d C24, /�J� `Xy NEW NET HOUSEHOLD BALANCE 0.00
Refund of 95.00 Made By REFUND FINAN With Reference tt ce O ca
All refunds are subject to Sta Board ounts claim procedure and may take 4 -6 weeks to process. A check will be
issued sh or credit c ref ds.
Authorize Sign at re Date 07 n ur Date
The Monon Community Center is a one -stop shop! Why drive all day searching for your local garage sale? Come to our
Community Garage Sale and leisurely browse through all sorts of items. 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.
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.
Srivastava, Sangeeta Terms
14439 Chariots Whisper Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1011110 525330 Refund 95.00
Total 95.00
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.
Srivastava, Sangeeta Allowed 20
14439 Chariots Whisper Drive
Westfield, IN 46074
In Sum of
95.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 525330 4358400 95.00 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
7T 4�
--fl
Signature
95.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund