HomeMy WebLinkAbout197297 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 365273 Page 1 of 1
0 ONE CIVIC SQUARE LYNNE MARTIN
CARMEL, INDIANA 46032 3719 RIDDELL LANE CHECK AMOUNT: $91.00
WESTFIELD IN 46074
CHECK NUMBER: 197297
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 91.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 608910
Payment Date: 04/27/11
Household 9130
YruNC
Monon Community Center Hm Ph: (317)582 -1180
Carmel IN 46032 q
C 4 Cell Ph:
faywalking @indy.rr.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 91.00
Pass Holder: Delaney Martin Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: 10 Visit (ESE10V), #135243 39.00 0.00 39.00 0.00 0.00
Valid Dates: 08/10/2010 to 05/26/2011 Pass Cancellation)
Pass Visit Info: 71onger
Cancel Reason: i istrict
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04127111 10:11:50 by BJJ FEES CHANGED ON CANCELLED ITEMS 91.00
NET AMOUNT. FROM'CANCELLED.ITEMS
TOTALsAMOUNT REFUNDED' `9;100
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 91.00 M ade By REF 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 refunds.
Authorized Signature Date Authorized Signature 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 -1lam
$40 /family
West Park, 2700 W 116th Street ii AP 9J 2 2011
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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.
Martin, Lynne Terms
3719 Riddell Ln Date Due
Westfield, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/27/11 608910 Refund 91.00
Total 91.00
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.
Martin, Lynne Allowed 20
3719 Riddell Ln
Westfield, IN 46062
In Sum of
91.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -2 608910 4358400 91.00 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
4 -May 2011
Signature
91.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund