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HomeMy WebLinkAbout195017 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 365139 Page 1 of 1 0 Ei ONE CIVIC SQUARE MICHELLE DORN CHECK AMOUNT: $112.00 CARMEL, INDIANA 46032 3578 FOSTER RIDGE LANE CARMEL IN 46033 CHECK NUMBER: 195017 CHECK DATE: 3/2/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 112.00 REFUND GLOBAL REFUND RECEIPT Receipt 574876 Payment Date: 02/14/11 Household 1602 Morton Community Center Michelle Dorn Hm Ph: (317)776 -1695 Carmel IN 46032 3578 Foster Ridge Lane Carmel IN 46033 Cell Ph: mdorn @indy.rr.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Orio Bal Refund New Bal Module: Pass Management 112.00- 112.00 0.00 PREVIOUS NET CREDIT HOUSEHOLD BALANCE 112.00 Processed on 02114/11 10:03:25 by BJJ NEW REFUND AMOUNT 112.00 TOTALiRE FUN DABLE'AMOU NTT 112Q0 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 112.00 Made By REFUND FINAN With Reference All refu s 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. l/ Aut�ignature Date Authorized Signature Date 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. o f qsO*�' 2'' r 5 FEB 14 2011 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. Dorn, Michelle Terms 3578 Foster Ridge Lane Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/14111 574876 Refund 112.00 Total 112.00 i 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, Dorn, Michelle Allowed 20 3578 Foster Ridge Lane Carmel, IN 46033 In Sum of 112.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -2 574876 4358400 112.00 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 o i Signature 112.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund