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.
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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.
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