195182 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 365144 Page 1 of 1
ONE CIVIC SQUARE REBECCA RAYMOND CHECK AMOUNT: $122.00
CARMEL, INDIANA 46032 11409 CENTRAL DRVIE WEST
CARMEL IN 46032 CHECK NUMBER: 195182
CHECK DATE: 3/2/2011
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 122.00 REFUND
PASS REFUND RECEIPT
Receipt 578385
Payment Date: 02/17/11
Household 9214
Monon Community Center Rebecca Raymond Hm Ph: (317)908 -7215
Carmel IN 46032 11409 Central Drive West. Wk Ph: (317)705 -0000
Carmel IN 46032 Cell Ph: (317)908-7215
rebecca.raymond@marriottsales.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 122.00- 122.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 122.00
Processed on 02/17/11 08:03:17 by JAB NEW REFUND AMOUNT 122.00
TOTAL REFUNDABLE AMOUNT 122.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 122.00 Made By REFUND FINAN With Reference chk refund
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
th ed lure 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.
FEB 2011
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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.
Raymond, Rebecca Terms
11409 Central Drive West Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2117111 578385 Refund 122.00
Total I 122.00
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
Raymond, Rebecca Allowed 20
11409 Central Drive West
Carmel, IN 46032
I n Sum of$
122.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -6 578385 4358400 122.00 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
Signature
122.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund