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.
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