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HomeMy WebLinkAbout196577 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365218 Page 1 of 1 ONE CIVIC SQUARE DAVID TODD i 0 CHECK AMOUNT: $15.00 CARMEL, INDIANA 46032 9928 BRIDGER DR EAST CARMEL IN 46033 CHECK NUMBER: 196577 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 15.00 PARKS DEPARTMENT REFU LOCKER REFUND RECEIPT Receipt 598178 Payment Date: 04/06/11 Household 7233 Monon Community Center David Todd Hm Ph: (317)705 -1964 Carmel IN 46032 9928 Bridger Dr East Carmel IN 46033 Cell Ph: Phone: (317)848 -7275 etodd83@sbcglobal.net Fed Tax ID #35- 6000972 Locker Registration Details: CANCELLATION Refund Of 15.00 Member Name: Ellen Todd Fees Tax Discount Prev Paid Cur Paid Amount Due Locker Room: Fitness Center Women 112.50 0.00 0.00 112.50 0.00 Locker Number: 103 Valid Dates: 08/17/10 to 08/17/11 Cancel Reason: Retiring use of locker. PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 04/06/11 12:50:51 by LWW FEES CHANGED ON CANCELLED ITEMS 127.50 Olt- C t /i B Ou OI )J_1L ayv SURCHARGE APPLIED AGAINST CANCELLED FEES 112.50 1+ -h t l q /bNET AMOUNT'fROMiCANCELL"ED.IT,EMS .,x15100 4 t tl t 1 I I I l'�q �ar TOTAL AMOUNT REF...l1NDED:. 1'5100 w a 4/,S L� U NEW NET HOUSEHOLD BALANCE 0.00 Refund of 15.00 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 issued. No cash f or credit card refunds. Authorized Signature Date Z A rized S' nature ate logC�.2 Z. 43G�400 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 lbs 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, $3 /dog West Park, 2700 W 116th Street Page 1 r f/'�' c f g s- Y e x c z S k y r✓ 2 e ti, a X5"'6 y/] s E l r �'tr 5 9 f,_ S 'F`, 31 :x f'.��r.7� �.,6 F. k t s 7'9' 2 „s, J.•s N 3 x v, F s f F flonCht` ,�sscanceflatlonrquite ax;teas7 k3usle�s5 dyr �vr tten naCice prior tq next;Uta pay 'rr� e p k f ry��•y k y It �.s 1� r c!�-k r'w �r �`.r016111'_I�t1 K s Q ,r,3r r.. s_ FY ri r ta T pa}ngent from f3 Ing Processed �kll soc�ated passes shall be an efletl F, cJ y� 9 l j u y, r ,l u�F 5 :15 fec lve on 7'Td to t(re w�rttten �otree ut recetve�i try tl e IVly ate C ©�nmunityrCenter Pror�Ified'refuhds3 4 f ale rt(fti IsSUeI for#lltlll p3_sse5 3:` OMA -f,. ll.Zr S.r Y c :Y: -r .Y3'k Lz t Vital 3"f' "r" F$t' ,G• r 416vrrFi� j s t s 4 Ircl one rf refu �iitl re ueted)lYeek Refund ar. F1tyu�ehrTl�fedlt x f 7 y s w. G» rx ,..4!,1 r' 2 .rC 3.r .5 *Nafie Gheck r.. efuncCs.tsK 1 03 q we to races Hour hold cre�It vrEli fie (.ace4. �ccoantEfa�&d'dit t. Mbeds future °transacti(an P p i 1 i s ,.a, r r r+ r c a v E iP w r t y Y? F- x `xNanle =0 perSOn reC {lleSfiln; CanCel(2fi[On 3 rf t �as f r TOday 5 Date o la si R f j y{. Tr r P�ione Number ;9 Y t' a 7 C✓ fJ f C' e' „t C- �3 -`F n,J }fA 4 l' S CA {6 L !T C {r it f .ply 5 CF '^l3 f f l" S i Fi,}� Address h+f x'��� S� t y IrI� r "'X t Y"' l�1ty r 1 ���„f C 5 C ZIP Yd �f 3 ,i „r ;s,,,, s rE 3 f t� 3 T 'G tir 9 y p Nam `or>- pastes) tcfi tie canceller(r 2Y M a y e s d a g e r F r r E y y F z ✓x .nF rJ ac ogg f Type of pass(esj to be cancellers{ k S Reason �O r PA 55 C29 celiati i i y' x .r L T ry x r s r 6 gif t y 4 r r S ""F'r'z9 L,-s i n r. fiave a rentaf f x x a W Pa55holder s Slgnptur f f' x ti� pT F e r d lJ ar s S a a FOR OFFICE tfSt= ONLY' o- 3 r r r �4.sa. r s r 'a y r \ler�fietf tnssaiint�nt b3tlingfartFt€�nes�t mbrzth Vfx w, ..cr Y._ z..,, n 4 r te i £r I a 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. Todd, David Terms 9928 Bridger Dr East Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 416111 598178 Refund 15.00 Total 15.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IG 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No, Todd, David Allowed 20 9928 Bridger Dr East Carmel, IN 46033 In Sum of 15.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1096 -22 598178 435$400 15.00 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 7 -Apr 2011 Signature 15.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund