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HomeMy WebLinkAbout194174 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 365054 Page 1 of 1 0 ONE CIVIC SQUARE TIM FLETCHALL CARMEL, INDIANA 46032 1543 SPRING MILL POND CIRCLE CHECK AMOUNT: $25.50 CARMEL IN 46032 o �a CHECK NUMBER: 194174 CHECK DATE: 213!2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 25.50 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 568112 Payment Date: 01/27/11 Household 15644 Smoky Row Elementary Tim Fletchall Hm Ph: (317)566 -1227 900 West 136th Street 1543 Spring Mill Pond Circle Wk Ph: (317) Carmel IN 46032 Carmel IN 46032 Cell Ph: (317) Phone: (317)848 -7275 tjfletchali @sbcglobal.net Fed Tax I D #35- 6000972 Refund Details Oria Bai Refund New Bal Module: Activity Registration 25.50- 25.50 0.00 PREVIOUS NET HOUSEHOLD BALANCE 25.50 Processed on 01127/11 15:50:49 by AEB NEW REFUND AMOUNT 25.50 "TOTAL REFUNDABLE AMOUNT NEW NET HOUSEHOLD BALANCE 0.00 Refund of 25.50 Made By REFUND FINAN With Reference All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. Nei cash or credit card refunds. uthoriz ignature Date Authorized Signature Date Mothers, bring your little prince to Prince Charming's Ball and share a Valentine's evening of enchantment and wonder at this ballroom -style event. The event will be held on Friday, February 4 from 6 -9pm at the MCC. Fee is $15 /person. Register at www.carmelclayparks.com. Pre registration is required (activity# 319047 -01). ST qqo LE 1 f j p V _J ��Q Page 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No, Fletchall, Tim Terms 1543 Spring Mill Pond Circle Date Due Carmel, IN 46032 Invoice Invoice Description Date Number or note attached invoice(s) or bill(s)) Amount 25.50 1/27111 568112 Refund vim Total 25,50 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. Fletchall, Tim Allowed 20 1543 Spring Mill Pond Circle Carmel, IN 46032 In Sum of$ 25.50 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO #or. INVOICE NO, ACCT #ITITLE AMOUNT Board Members Dept 1081 -99 568112 4358400 25.50 l hereby certify that the attached invoice(s), or bi'l(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 31 -Jan 2011 Signature 25.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund