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HomeMy WebLinkAbout195459 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 365167 Page 1 of 1 ONE CIVIC SQUARE ROLLIN HARRISON CHECK AMOUNT: $500.00 CARMEL, INDIANA 46032 1190 WOODGATE DRIVE CARMEL IN 46033 CHECK NUMBER: 195459 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 500.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 582659 Payment Date: 02/28/11 Household 374 rb� MAR 0 ao� Monon Community Center' Rollin Harrison Hm Ph: (317)580 -9527 Carmel IN 46032 1190 Woodgate Dr. Wk Ph: (317) Carmel IN 46033 Cell Ph: (317)508 -4644 rwhdjh@sbcglobal.net Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 500.00- 500.00 0.00 PREVIOUS NET HOUSEHOLD BALANCE 500.00 Processed on 02/28/11 16:14:49 by JAB NEW REFUND AMOUNT 500.00 TOTAL'REFUNDABLE AMOUNT` 500.00. NEW NET HOUSEHOLD BALANCE 0.00 Refund of 500.00 Made By REFUND FINAN With Reference check refund All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be is d. No cash or credit card refunds. Auth riz Signa ure 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.corn for ticket numbers and pricing. 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. Harrison, Rollin Terms 1190 Woodgate Dr. Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2128111 582659 Refund 500.00 Total 500.00 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. Harrison, Rollin Allowed 20 1190 Woodgate Dr. Carmel, IN 46033 In Sum of 500.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE. PO# or INVOICE NO. ACCT#/TiTLE AMOUNT Board Members Dept 1082 -7 582659 4358400 500.00 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 10 -Mar 2011 Signature I 500.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund