HomeMy WebLinkAbout194215 02/03/2011 ^c� CITY OF CARMEL, INDIANA VENDOR; 365046 Page 1 of 1
ONE CIVIC SQUARE SARA HESS
CARMEL, INDIANA 46032 13562 SILVER SPUR COURT CHECK AMOUNT: $105.00
CARMEL IN 46032
CHECK NUMBER: 194215
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 105.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT al
Receipt 565582
Payment Date: 01/19/11
Household 8075
Monon Community Center Sara Hess Hm Ph: (317)705 -0449
Carmel IN 46032 13562 Silver Spur Court
Carmel IN 46032 Cell Ph:
entnursel 210 @sbcglobal. net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Detalls
4riu Sal_ Refund New Be]
Module: Pass Management 105.00- 105.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 105.00
J �Processed on 01119/11 11:45:18 by BWT NEW REFUND AMOUNT 105.00
f TOTAL REFUNDABLE AMOUNT 105.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 105.00 Made By REFUND FINAN With Reference
All refunds are subject -to State Board of Accounts claim procedure and may take 4 weeks to process. A check will be
is d. No cash or cre 't card refunds.
Authorized Sign to Data Xuth te
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 $15 1person. Register at
www.carmelclayparks.com. Pre registration is required (activity# 319047 -01).
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No,
Hess, Sara Terms
13562 Silver Spur Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
1!19111 565582 Refund 105.00
Total 105.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Hess, Sara Allowed 20
13562 Silver Spur Court
Carmel, IN 46032
in Sum of$
105.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 565582 4358400 10 5.00 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
27 -Jan 2011
Signature
105.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund