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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 v1fb 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. 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