HomeMy WebLinkAbout197573 05/26/2011 a CITY OF CARMEL, INDIANA VENDOR: 365293 Page 1 of 1
ONE CIVIC SQUARE KELLI BRACHO
CARMEL, INDIANA 46032 CHECK AMOUNT: $162.00
3720 DOLAN WAY
WESTFIELD IN 46074 CHECK NUMBER: 197573
CHECK DATE: 5/2612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 611279 162.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 611279
Payment Date: 05/04/11
Household 39445
Monon Community Center Kelii Bracho Hm Ph: (317)217 -4977
Carmel IN 46032 3720 Dolan Way
Westfield IN 46074 Cell Ph: (317)733-9487
Phone: (317)84$ -7275 kellivanbracho@netseape.net
Fed Tax ID #35- 6000972
Refund Details
Orig Bal Refund New Bal
Module: Pass Management 162.00 162.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 162.00
Processed on 05/04/11 14:56:04 by BJJ NEW REFUND AMOUNT 162.00
aT6TAL"REFUN DAB LE`AMOUNT; 162:00;
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 1 62.00 Made By REFUND FINAN With Reference
All refunds fte 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 efunds.
t�
Aul prized nature 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 alfergies /vegetarian by May 27.
June 10 -11
4:30pm -1 lam
$401family
West Park, 2700 W 116th Street
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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.
Bracho, Kelli Terms
3720 Dolan Way Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
514111 611279 Refund 162.00
Total 162.00
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,
Bracho, Kelli Allowed 20
3720 Dolan Way
Westfield, IN 46074
In Sum of
162.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -10 611279 4358400 162.00 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
162.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund