HomeMy WebLinkAbout193439 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 364146 Page 1 of 1
a ONE CIVIC SQUARE JAY HARDCASTLE CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 200 HARMONY ROAD
CARMEL IN 46032 CHECK NUMBER: 193439
CHECK DATE: 1/5/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 35.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt# 555336
Payment Date: 12/29/10
Household 3903
Monon Community Center Jay Hardcastle Hm Ph: (317)581 -9891
Carmel IN 46032 200 Harmony Road Wk Ph: (317)
Carmel IN 46032 Cell Ph:
thinktondem @mac.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 35.00
Pass Holder: Linda Hardcastle Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MC Adlt Mthly (M MCAM), #16540 0.00 0.00 0.00 0.00 0.00
Valid Dates: 11/10/2010 to 11/21/2011 Pass Cancellation)
7 6 USQeY151or) aveas fcj
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 12/29/10 14:07:35 by TLP FEES ADJUSTED ON CHANGED ITEMS 35.00
NET AMOUNT FROM CHANGED ITEMS 35:00
TOTAL AMOUNT'REFUNDED 35:00
11 S NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference pass suspension requ
All refunds are subject to State Board of Accounts claim procedure and may take 4- weeks to process. A check will be
issued. No cash or credit card refunds.
t2. za1lU
Authorized Signature Date Au r' ed Si ature Date
Happy Holidays from Carmel Clay Parks Recreation!
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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,
Hardcastle, Jay Terms
200 Harmony Road Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12129/11 555336 Refund 35.00
Total 35.00
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.
Hardcastle, Jay Allowed 20
200 Harmony Road
Carmel, IN 46032
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 555336 4358400 35.00 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
3 -Jan 2011
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund