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HomeMy WebLinkAbout195121 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 365142 Page 1 of 1 ONE CIVIC SQUARE KEVIN MCANDREW CHECK AMOUNT: $130.00 CARMEL, INDIANA 46032 11911 EDN GLEN CARMEL IN 46033 CHECK NUMBER: 195121 CHECK DATE: 3/2/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 130.00 REFUND PASS REFUND RECEIPT Receipt 578214 Payment Date: 02/16/11 Household 38643 Woodbrook Elementary Kevin McAndrew Hm Ph: (317)564 -8673 4311 East 116th Street 11911 Eden Glen Carmel IN 46033 Carmel IN 46033 Cell Ph (541)912 -0078 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 130.00 Pass Holder: Lily McAndrews Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 10 -Visit (ESE10V), #126973 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/10/2010 to 05/26/2011 Pass Cancellation) Pass Visit Info: Number of Visits: 10 Cancel Reason. HH will not require ESE for remainder of the school year. 10visit pass was never used; Will refund a Check to HH per their request. NUP PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 02116(11 15:58:10 by NUP FEES CHANGED ON CANCELLED ITEMS 130.00- NET° AMOUNT °FROM`;CANCELLED'ITEMS =130s00F :TOTAL'AMOUNT,REF.UNDED 130500'x'= NEW NET HOUSEHOLD BALANCE 0.00 Refund of 130.00 Made By REFUND FINAN With Reference All 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. 6 Au rized Signature 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. 3 �J 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. McAndrew, Kevin Terms 11911 Eden Glen Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2116/11 578214 Refund 130.00 Total 130.00 1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and I have audited same in accordance with 1C 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. McAndrew, Kevin Allowed 20 11911 Eden Glen Carmel, IN 46033 In Sum of 130.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1081 -11 57$214 4358400 130.00 I 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 130.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund