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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