HomeMy WebLinkAbout197859 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365294 Page 1 of 1
ONE CIVIC SQUARE GU XIAOPING
CARMEL, INDIANA 46032 13850AMBLEWIND PL CHECK AMOUNT: $205.00
WESTFIELDIN 46074 CHECK NUMBER: 197859
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 612974 205.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 612974
Payment Date: 05/10/11
Household 15195
Monon Community Center Xiaoping Gu Hm Ph: (317)732 -4481
Carmel IN 46032 13850 Amblewind PI
Westfield IN 46074 Cell Ph:
guxiaoping@gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 205.00- 205.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 205.00
Processed on 05/10/11 15:20:55 by JAB NEW REFUND AMOUNT 205.00
TOTAL REFUNDABLE AMOUNT 205.00
Y t'/K`t'V k NEW NET HOUSEHOLD BALANCE 0.00
Refund of 205. Made By REFUND FINAN With Reference check refund
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
ed. No ca or credit card refunds.
Auth d Si 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 Ma w27.
June
4 30pm- 1 20U
$40 /family
West Park, 2700 W 116th Street
BY:
(AA
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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.
Gu, Xiaoping Terms
13850 Arnblevvind PI Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5110/11 612974 Refund 205.00
Total 205.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Gu, Xiaoping Allowed 20
13850 Ambfewind PI
Westfield, IN 46074
In Sum of
205.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1081 -3 612974 4358400 205.00 i 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
205.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund