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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 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. 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