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197826 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365298 Page 1 of 1 ONE CIVIC SQUARE JOSHUA STONEKING CARMEL, INDIANA 46032 3439 EDEN PARK DR CHECK AMOUNT: $16.36 6 «0M CARMEL IN 46033 CHECK NUMBER: 197826 CHECK DATE: 5/2612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 612925 16.36 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 612925 Payment Date: 05/10/11 Household 36883 Monon Community Center Joshua Stoneking Hm Ph: (317)645 -6671 Carmel IN 46032 3439 Eden Park Dr. Carmel IN 46033 Cell Ph: (317)679-7427 brandiel0774@aol.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 16.36- 16.36 0.00 PREVIOUS NET HOUSEHOLD BALANCE 16.36 Processed on 05/10/11 13:05:39 by LVA NEW REFUND AMOUNT 16.36 TOTAL REFUNDABLE AMOUNT, 16.36 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 16.36 Made By REFUND FINAN With Reference prorated request All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issue o cash or credit card refunds. Authorized Sign e Date Autho i ri7Cd Sign 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 -1lam $40 /family West Park, 2700 W 116th Street lO PA 16 1011 BY f ►�s�r U CA K0 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. Stoneking, Joshua Terms 3439 Eden Park Dr Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5110111 612925 Refund 16.36 Total 16.36 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. Stoneking, Joshua Allowed 20 3439 Eden Park Dr Carmel, IN 46033 In Sum of 16.36 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1096 -32 612925 4358400 16.36 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 16.36 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund