HomeMy WebLinkAbout196904 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365245 Page 1 of 1
ONE CIVIC SQUARE LISA PIECK
0 CHECK AMOUNT: $70.00
CARMEL, INDIANA 46032 16121 DANDBORN GREEN
o� WESTFIELD IN 46074 CHECK NUMBER: 196904
CHECK DATE: 4/2612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 70.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 606602
Payment Date: 04/19/11
Household 39260
Monon Community Center Lisa Pieck Hm Ph: (201)705 -2101
Carmel IN 46032 16121 Dandborn Green
Westfield IN 46074 Cell Ph:
1picek @gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
_Orin Bal Refund New Bal
Module: Pass Management 70.00- 70.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 70.00
Processed on 04/19111 10:38:47 by KLB NEW REFUND AMOUNT 70.00
TOTAL REFUNDABLE AMOUNT 70,00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 70.00 Made By REFUND FINAN With Reference staff error
All refunds are subject to State Board of Accounts claim procedure and ma ak weeks to pr cess. A check will be
issued. No cash or credit card refunds.
Authorized Signature Date uthor ed a ure Date
Load up the kids, dig out your tents, and head over to West Park for our Family Campout. Campers will chow down on tasty
camping classics such as beans, hotdogs, and hamburgers. Then we will all enjoy family games, and a movie under the stars.
The film will be How to Train Your Dragon (PG). Night owls are then invited to join a late night hike around the park.
Participants must bring their own tent, bug spray, and flashlights- we will provide the rest. Fee includes dinner, a light breakfast,
and all activities. Tent setup is between 4:30 and 6:00pm. Pre registration Is required. In case of inclement weather, the rain
date will be June 17 -18. Please call Sarah with any special requests due to allergies /vegetarian by May 27.
June 10 -11
4:30pm -11 am
$401famify
West Park, 2700 W 116th Street
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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.
Pieck, Lisa Terms
16121 Dandborn Green Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4119111 606602 Refund 70.00
Total 70.00
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.
Pieck, Lisa Allowed 20
16121 Dandborn Green
Westfield, IN 46074
In Sum of
70.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 606602 4358400 70.00 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
21 -Apr 2011
.6kaz2a,
Signature
70.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund