HomeMy WebLinkAbout193514 01/05/2011 CITY OF CARMEL, INDIANA VENDOR; 365000 Page 1 of 1
0 ONE CIVIC SQUARE JOSEP SALFITY
soa CARMEL, INDIANA 46032 25 WILSON DRIVE CHECK AMOUNT: $76.00
0
CARMEL IN 46032 CHECK NUMBER: 193514
CHECK DATE: 1!5!2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 76.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 551913
Payment Date: 12/17/10
Household 26206
Monon Community Center Josep Salfity Hm Ph: (317)846 -7845
Carmel IN 46032 25 Wilson Dr Wk Ph: (317)867 -5590
Carmel IN 46032 Cell Ph: (317)370 -3707
Phone: (317)848 -7275
Fed Tax ID #35- 6000972.
Refund Details
Oriq Sal Refund New Bat
Module: Pass Management 76.00- 76.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 76.00
Processed on 12117110 11:52:08 by TLP NEW REFUND AMOUNT 75.00
TOTAL REFUNDABLE AMOUNT 76.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 76.00 Made By REFUND F1NAN With Reference r r>GL10924358400
All refunds are subject t6 ;S to Board�of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or cr it and refunds.
1Z -2 1
/Authorized Signatur Dale Au o; d Sign ure Dale
Page #1 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.
Salfity, Josep Terms
25 Wilson Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/17/10 551913 Refund 76.00
Total 76.00
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,
Salfity, Josep Allowed 20
25 Wilson Dr
Carmel, IN 46032
4 In Sum of
76.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #ITITL AMOUNT Board Members
Dept
1092 551913 4358400 76.00 i 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
30 -Dec 2010
Signature
76.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund