HomeMy WebLinkAbout195091 03/02/2011 CITY OF CARMEL, INDIANA VENDORS 365141 Page 1 of 1
ONE CIVIC SQUARE ALISON JANSSEN CHECK AMOUNT: $48.00
CARMEL, INDIANA 46032 12204 REDGOLD RUN
CARMEL IN 46032 CHECK NUMBER: 195091
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CHECK DATE: 3/212011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 48.00 REFUND
PASS REFUND RECEIPT
Receipt 580736
Payment Date: 02/23/11
Household 17464
Monon Community Center Alison Janssen Hm Ph: (317)816 -0021
Carmel IN 46032 12204 Redgold Run Wk Ph: (317)
Carmel IN 46032 Cell Ph: (317)658 -3822
pat.janssen@tranzactis.com, alisonsnyder82@yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 48.00
Pass Holder: Alison Janssen Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: KZ 50 Visit (M Z50), #77155 27.00 0.00 27.00 0.00 0.00
Valid Dates: 08/11/2009 to 12/31/2099 Pass Cancellation)
Pass Visit Info: Number of Visits: 32
Cancel Reason: prorated request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/23/11 11:33:36 by LVA FEES CHANGED ON CANCELLED ITEMS 48.00
NET AMOUNTYROM CANCELLED ITEMS =48.00
'TOTAL AMOUNT REFUNDED'- 48.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 48.00 Made By REFUND FINAN With Reference prorated request
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue o cash or credit card refunds.
Authorized Sign a Da a Auth rued Si g nature 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.
Janssen, Alison Terms
12204 Redgold Run Date Due
Carmel, 1N 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2123/11 580736 Refund 48.00
Total Is 48.00
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.
Janssen, Alison Allowed 20
12204 Redgold Run
Carmel, IN 46032
In Sum of
48.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
109£ -41 580736 4358400 48.00 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
25 -Feb 2011
I' �Uf
Signature
48.00 Accounts Payable Coordinator
Cost distribution ledger ctasslfication if Title
claim paid motor vehicle highway fund