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Home My WebLink About195575 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 365171 Page 1 of 1 ONE CIVIC SQUARE AMY NEIDLINGER CHECK AMOUNT: $161.00 CARMEL, INDIANA 46032 14227 AVIAN WAY CARMEL IN 46033 CHECK NUMBER: 195575 CHECK DATE: 3/1612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 161.00 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt 582660 Payment Date: 02/28/11 Household 439 177, Morton Community Center MAR 0 2 2011 1 Amy Neidlinger Hm Ph: (317)569 -0547 Carmel IN 46032 14227 Avian Way Carmel IN 46033 Cell Ph: (317)332 -5981 amy.neidlinger@pearsoned.com Phone: (317)848 -7275 Fed Tax ID 435- 6000972 Pass Details CANCELLATION Refund Of 80.50 Pass Holder: Kate Neidlinger Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 10 -Visit (ESE1 OV), #65437 34.50 0.00 34.50 0.00 0.00 Valid Dates: 08/12/2008 to 05/27/2010 Pass Cancellation) Pass Visit Info: Number of Visits: 7 Cancel Reason. punches left over from 09 -10 school year CANCELLATION Refund Of 80.50 Pass Holder: Jack Neidlinger Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 1 O -Visit (ESEI OV), #65438 34.50 0.00 34.50 0.00 0.00 Valid Dates: 08/12/2008 to 05/27/2010 Pass Cancellation) Pass Visit Info: Number of Visits: 7 Cancel Reason: punches left over from 09 -10 school year�� PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 02/28/11 16:17:04 by JAB FEES CHANGED ON CANCELLED ITEMS 161,00 'NET AMOUNTQFROM CANCELLED; ITEMS 181:00 TOTAL AMOUNT REFUNDED 161.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 161.00 Made By REFUND FINAN With Reference check refund All refunds a subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be iss ed. No c h or credit card refunds. f s t `r� Autho zed 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. 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. Neidlinger, Amy Terms 14227 Avian Way Date Due Carmel, IN 46033 Invoice Invoice Description Date Number or note attached invoices) or bill(s)) Amount 161.00 2/28/11 582660 Refund T.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. Neidlinger, Amy Allowed 20 14227 Avian Way Carmel, IN 46033 In Sum of 161.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -2 582660 4358400 161.00 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 161.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund