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HomeMy WebLinkAbout193715 01/19/2011 F CITY OF CARMEL, INDIANA VENDOR: 365025 Page 1 of 1 ONE CIVIC SQUARE MICHELLE DARON 0 CHECK AMOUNT: $46.00 CARMEL, INDIANA 46032 13645 SHELBORNE ROAD 4 ory p WESTFIELD IN 46074 CHECK NUMBER: 193715 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 46.00 PARKS DEPARTMENT REFU GLOBAL REFUND RECEIPT Receipt 556504 Payment Date: 01/03/11 Household 1974 Morton Community Center Michelle Daron Hm Ph: (317)733 -0714 Carmel IN 46032 13645 Shelborne Rd. Wk Ph: (317)810 -7510 Westfield IN 46074 Ext. 679 mmdaron @aol.com Cell Ph: (317)403 -6322 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 46.00- 46.00 0.00 PREVIOUS NET CREDIT HOUSEHOLD BALANCE 46.00 Processed on 01/03111 10:13:28 by BJJ NEW REFUND AMOUNT 46.00 TOTAL REFUNDABLE AMOUNT 46.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 4600Made By REFUND FINAN With Reference All refia ds are subject to State Board of Accounts claim procedure and may take. 4 -6 weeks to process. A check will be issued No cash or credit card refunds. u Signature Date Authorized Signature Date Happy Holidays from Carmel Clay Parks Recreation! 0J r JAN 0 7 2011 L 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. Daron, Michelle Terms 13645 Shelborne Rd Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 113111 556504 Refund 46.00 Total 46.00 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. Daron, Michelle Allowed 20 13645 Shelborne Rd Westfield, IN 46074 In Sum of 46.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members Dept 1081 -99 556504 4358400 46.00 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 13 -Jan 2011 Signature 46.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund