HomeMy WebLinkAbout196079 03/29/2011 F CITY OF CARMEL, INDIANA VENDOR: 365189 Page 1 of 1
ONE CIVIC SQUARE KATHRYN RICE
CHECK AMOUNT: $462.99
CARMEL, INDIANA 46032 161 W KINZIE ST APT 1911
CHICAGO IL 60654
CHECK NUMBER: 196079
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 462.99 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 586772
Payment Date: 03/11/11
Household 23328
Aonon Community Center Kathryn Rice Hm Ph: (317)581 -0367
'.armel IN 46032 1 W. Sin z1 5�., a Cell Ph: (317)502 9189
kerice045 @att.net
'hone: (317)848 -7275
:ed Tax ID #35- 6000972 (L
ass Details
CANCELLATION Refund Of 312.99
Pass Holder: Kathryn Rice Fees Tax Discount Prey Paid Cur Paid Amount Due
Pass Type: MC Adlt Annual (M MCAA), #124400 107.01 0.00 0.00 107.01 0.00
Valid Dates: 12/08/2010 to 12/08/2011 Pass Cancellation)
Cancel Reason: moved out of state
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03111111 13:08:41 by MJN FEES CHANGED ON CANCELLED ITEMS 420.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 107.01
NET AMOUNT FROM CANCELLED ITEMS 312.99-
1 011 L 7 0 TOTAL AMOUNT REFUNDED 312.99
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 312.99 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. No cash or credit card re
,a
Authorized Signature Date y orize ignature Date
Hop on over to West Park for our annual Children ?s and Doggie Egg Hunts! The hunts will be filled with egg citing activities.
Children will be divided into their appropriate age groups: 0 -2 years, 3 -5 years, 6 -8 years, and 9 -11 years. Dogs will be divided
based on weight 0 -25 Ibs and 26+ lbs. All dogs are required to be on a leash at all times. Both events are held outside, rain or
snow. There is no online or pre registration; you must register the day of.
Saturday, April 16
Children's 10:30am, $1 /child
Doggie -1lam, $3 /dog
West Park, 2700 W 116th Street
Page 1
PASS REFUND RECEIPT
Receipt 586803
Payment Date: 03/11/11
Household 23328
Monon Community Center Kathryn Rice Hm Ph: (317)581 -0367
Carmel IN 46032 rive
Cell Ph: (317)502 -9189
kerice045 @att.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972 LLGGILi D �it!/LC�
Pass Details
CANCELLATION Refund Of 150.00
Pass Holder: Kathryn Rice Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: PT1 5x60 min (M PT1560), #129171 100.00 0.00 0.00 100.00 0.00
Valid Dates: 02/05/2011 to 05/05/2012 Pass Cancellation)
Pass visit Info: Number of Visits: 3
Cancel Reason: moved out of state
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/11/11 14:28:41 by MJN FEES CHANGED ON CANCELLED ITEMS 250.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 100.00
NET AMOUNT FROM CANCELLED ITEMS 150.00-
1 V TOTAL AMOUNT REFUNDED 150.00 G�
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 150.00 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. No ca or credit card refunds.
1 3/1 X
Authorized Signature Date Authoved Signature ate
Hop on over to West Park for our annual Children ?s and Doggie Egg Hunts! The hunts will be filled with egg- citing activities.
Children will be divided into their appropriate age groups: 0 -2 years, 3 -5 years, 6 -8 years, and 9 -11 years. Dogs will be divided
based on weight 0 -25 Ibs and 26+ lbs. All dogs are required to be on a leash at all times. Both events are held outside, rain or
snow. There is no online or pre- registration; you must register the day of.
Saturday, April 16
Children's 10:30am, $1 /child
Doggie $3 /dog PPmve SJSwn U eAom mo 0 y�
West Park, 27070 0 W 116th Street
J 1 4
L W 1011�;
BY:
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.
Rice, Kathryn Terms
161 W Kinzie St., Apt. 1911 Date Due
Chicago, IL 60654
Invoice Invoice Description
Date Number
or note attached invoices) or bill(s)) Amount
3/11/11 586772 Refund Jj 312.99
3/11/11 586803 Refund 150.00
Total 462.99
I 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Rice, Kathryn Allowed 20
161 W Kinzie St., Apt. 1911
Chicago, IL 60654
In Sum of
462.99
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 586772 4358400 312.99 1 hereby certify that the attached invoice(s), or
1092 586803 4358400 150.00 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 -Mar 2011
Signature
462.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund