HomeMy WebLinkAbout196100 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 365191 Page 1 of 1
ONE CIVIC SQUARE GIZELA SIAS
CARMEL, INDIANA 46032 12772 TRAM LANE CHECK AMOUNT: $186.00
CARMEL IN 46032
CHECK NUMBER: 196100
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1081 4358400 186.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 586660
Payment Date: 03/11/11
Household 24177
Monon Community Center Gizela Sias Hm Ph: (317)407 -3493
Carmel IN 46032 12772 Tram Lane
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275 gissias08O69@yahoo.com
Fed Tax ID #35- 6000972
Pass Details
Pass Holder: Ella Sias Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Drop -In Visit (ESEDROP), #132404 14.04 0.00 0.04 14.00 0.00
Valid Dates: 08/10/2010 to 05/26/2011 Pass Transfer from Mar Month PM)
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/11/11 09:22:04 by JAB FEES ADJUSTED ON CHANGED ITEMS 186.00
u NET AMOUNT FROM CHANGED ITEMS 186.44
TOTAL AMOUNT REFUNDED 186.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 186.00 Made By REFUND FINAN With Reference check refund
Payment of 14.00 Made By Pass Management Credit Balance
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
s \dNo cash or credit card refunds.
ri Sig ature Date Authorized Signature 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 1 lam, $3 /dog
West Park, 2700 W 116th Street
r MAR 14 2011
BY:
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Sias, Gizela Terms
12772 Tram Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3111111 586660 Refund 186.00
Total 186.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Sias, Gizela Allowed 20
12772 Tram Lane
Carmel, IN 46032
In Sum of$
186.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO #or INVOICE NO. ACCT# /TITLE AMOUNT Board Members
Dept
1081 -10 586660 4358400 186.00 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
24 -Mar 2011
Signature
186.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund