HomeMy WebLinkAbout197799 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365297 Page 1 of 1
ONE CIVIC SQUARE ANDREA RESNIK
2 CARMEL, INDIANA 46032 14529 ALLISON DR CHECK AMOUNT: $202.00
CARMEL IN 46033 CHECK NUMBER: 197799
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CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 614328 202.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 614325
Payment Date: 05/13/11
Household 36516
Carmel Elementary Andrea Resnik Hm Ph: (317)564 -8272
101 4th Avenue SE 14529 Allison Dr. Wk Ph: (317)572 -9395
Carmel IN 46033 Carmel IN 46033 Cell Ph: (317)403 -0797
zarajrl 1 yahoo .com,aresnik @fairbankscd.org
Phone: (317)848-7275
Fed Tax I D #35- 6000972
Pass Details
CANCELLATION Refund Of 54.00
Pass Holder: Annaka Resnik Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: 4 -5 Week 37 PM (ESE4537P), #136438 0.00 0.00 0.00 0.00 0.00
Valid Dates: 05/09/2011 to 05/13/2011 Pass Cancellation)
Cancel Reason: Did not attend this week.
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 148.00
Processed on 05/13/11 12:28:02 by SLH FEES CHANGED ON CANCELLED ITEMS 54.00
-N ET.AMOUNT, GANCELLED1TEMS 5,4:00
HH BALANCE APPLIED TO THIS RECEIPT 148.00-
TOTAL'AMOUNT,REFUNDED 202x00:
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 202.00 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. Ngr cash or credit card refunds.
A4146 ized Signature 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. to 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 7
$40 /family
West Park, 2700 W 116th Street MAY 2 0 2011
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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.
Resnik, Andrea Terms
14529 Allison Dr. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5113111 614328 Refund 202.00
Total 202.00
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.
Resnik, Andrea Allowed 20
14529 Allison Dr.
Carmel, IN 46033
In Sum of
202.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1081 -1 614328 4358400 202.00 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
23 -May 2011
Signature
202.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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