HomeMy WebLinkAbout197738 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365296 Page 1 of 1
ONE CIVIC SQUARE DANIELLE MILLER
I CARMEL, INDIANA 46032 13476 SHAKAMAC DR CHECK AMOUNT: $40.00
CARMEL IN 46032 CHECK NUMBER: 197738
ON
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 613458 40.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 613458
Payment hate: 05/12/11
Household 3709
Monon Community Center Danielle Miller Hm Ph: (317)566 -1997
Carmel IN 46032 13476 Shakamac Drive
Carmel IN 46032 Cell Ph:
lhelpinghand@att.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bel Ref u no New Bel
Module: Activity Registr=ation 40.00 40.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 40.00
Processed on 05/12/11 07:42:06 by KLB NEW REFUND AMOUNT 40.00
TOTAL REFUNDABLE AMOUNT 40.00 V
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By REFUND FINAN With Reference per request
All refunds are subject to State 113oard of Accounts claim procedure and may take 4-6 weeks to process. A check will be
issued. No ca or rd funds.
ll II
Au ature' 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
u y 1 2011
BY
Ll 3SS WO
38 D01 -tiZ 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.
Miller, Danielle Terms
13476 Shakamac Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/12/11 613458 Refund 40.00
Total 40.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Miller, Danielle Allowed 20
13476 Shakamac Drive
Carmel, IN 46032
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 613458 4358400 40.00 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
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund