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 $15 /person. Register at
www.carmelclayparks.com. Pre registration is required (activity# 319047 -01).
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No,
Fletchall, Tim Terms
1543 Spring Mill Pond Circle Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
25.50
1/27111 568112 Refund
vim
Total 25,50
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Fletchall, Tim Allowed 20
1543 Spring Mill Pond Circle
Carmel, IN 46032
In Sum of$
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