HomeMy WebLinkAbout194564 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 365076 Page 1 of 1
ONE CIVIC SQUARE ESHEL FARAGGI CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 155 ALIDOBON DRIVE
CARMEL IN 46032 CHECK NUMBER: 194564
CHECK DATE: 2/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 35.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 569387
Payment Date: 01/31/11
Household 5065
Monon Community Center Eshel Faraggi Hm Ph: (317)587 -0063
Carmel IN 46032 155 Audobon Dr.
Carmel IN 46032 Cell Ph: (305)790-9489
teszlern@gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 35.00 35.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 35.00
Processed on 01/31/11 10:35:27 by LVA NEW REFUND AMOUNT 35.00
TOTAL REFUNDABLE AMOUNT 35.00 1
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35. Made By REFUND FINAN With Reference pr orated reques
Alf refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or credit card refunds.
31, 1
Authorized Signatu D toeifhorize¢� ignature 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).
o
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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.
Faraggi, Eshel Terms
155 Audobon Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/31111 569387 Refund 35.00
Total 35.00
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.
Faraggi, Eshel Allowed 20
155 Audobon Dr
Carmel, IN 46032
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1091641 569387 4358400 35.00 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
10 -Feb 2011
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund