HomeMy WebLinkAbout194969 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 365138 Page 1 of 1
ONE CIVIC SQUARE PAUL BRANKS
CARMEL, INDIANA 46032 11170 WOODBURY DRIVE CHECK AMOUNT: $380.00
CARMEL IN 46033
CHECK NUMBER: 194969
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 380.00 REFUND
GLOBAL REFUND RECEIPT
Receipt 573407
Payment Date: 02/11/11
Household 29897
Monon Community Center Paul Branks Hm Ph: (317)587 -1896
Carmel IN 46032 11170 Woodbury Dr
Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275 lebranks @gmail.com
Fed Tax ID #35- 6000972
Refund Details
Orio Sal Refund New Bal
Module: Pass Management 380.00- 380.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 380.00
Processed on 02/11/11 10:51:13 by KLB NEW REFUND AMOUNT 380.00
'TOTAL. RE FUN DAB L E AMOUNT „A =380':00:
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 380.00 Made By REF FINA With Reference Pass Cancellation K8
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N c o cr it card refunds.
f Aut orized S nature Date Authorized Signature Date
J
Sign up now or volunteer for our Dime Carnival taking place on March 5, from 6 -9pm in the MCC Banquet Rooms. There will
be at least 15 different types of games appropriate for ages 3 -12 years old. The number of tickets required to play varies for
each game. You may play your favorite game as often as you would like; just make sure you don't run out of tickets. Tickets
are 10 cents each, put you may purchase by the dollar. Visit carmelclayparks.com for ticket numbers and pricing.
10K. H358y00
FEB 14 1011
BY:..
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.
Branks, Paul Terms
11170 Woodbury Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11111 573407 Refund 380.00
Total 380.00
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.
Branks, Paul Allowed 20
11170 Woodbury Dr
Carmel, IN 46033
In Sum of
380.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 573407 4358400 380.00 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
24 -Feb 2011
4� �F
Signature
380.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund