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HomeMy WebLinkAbout197539 05/26/2011 a CITY OF CARMEL, INDIANA VENDOR: 364253 Page 1 of 1 ONE CIVIC SQUARE SCOTT ADAMS CHECK AMOUNT: $39.00 CARMEL, INDIANA 46032 6030 OSAGE DRIVE CARMEL IN 46033 CHECK NUMBER: 197539 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 611275 39.00 REFUNDS AWARDS INDE 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. Terms Adams, Scott Date Due 6030 Osage Drive Carmel, IN 46033 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 39.00 5/4111 611275 Refund Total 39.00 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. Adams, Scott Allowed 20 6030 Osage Drive Carmel, IN 46033 In Sum of 39.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -7 611275 4358400 39.00 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 19 -May 2011 Signature 39.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund GLOBAL REFUND RECEIPT Receipt# 611275 Payment Date: 05/04/11 Household 24955 Monon Community Center Scott Adams Hm Ph: (317)569 -6013 Carmel IN 46032 6030 Osage Drive Wk Ph: (317)815 -6670 Carmel W 46033 Cell Ph: (317)697 -4524 Phone: (317)848 -7275 scottmalhm@ameritech.net Fed Tax ID #35- 6000972 Refund Details Orio Bal Refund New Bal Module: Pass Management 39.00- 39.00 0.00 PREVIOUS NET CREDIT HOUSEHOLD BALANCE 39.00 Processed on 05/04111 14:43:31 by BJJ NEW REFUND AMOUNT 39.00 'TOTAL;_REEUN DAB LIE AMOUNT NEW NET HOUSEHOLD BALANCE 0.00 Refund of 39.00 Made By RE FI NAN With Reference All refund e subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. ash or credit card refunds. Aut d 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 -11 am $40/family West Park, 2700 W 116th Street 94 6 Y 16 20 1 1 S� BY. l� Page 1 1