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.
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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.
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