HomeMy WebLinkAbout198266 06/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 365397 Page 1 of 1
ONE CIVIC SQUARE DAVID SLATTON CHECK AMOUNT: $240.00
CARMEL, INDIANA 46032 9650 N AUGUSTA DR #511
o� CARMEL IN 46032 CHECK NUMBER: 198266
CHECK DATE: 6/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 240.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 626722
Payment Date: 06/02/11
Household 33005
SAS f l
Monon Community Center y, David Slatton Hm Ph: (317)658 -9569
Carmel IN 46032 (/j 1� N/l (�VIS' 1 i� T 12923 Tra Wk Ph: (317)871 -0048
11 Q Car 46032 Cell Ph: (317)658 -9569
Phone: (317)848 -7275 C I I attonCo3earthlink. net
Fed Tax ID #35- 6000972
Refund Details
O ria B I Refund New Bal
Module: Activity Registration 240.00- 240.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 240.00
Processed on 06/02/11 10:17:15 by JAB NEW REFUND AMOUNT 240.00
TOTAL REFUNDABLE AMOUNT 240.00
Q NEW NET HOUSEHOLD BALANCE 0.00
Refund of 240.00 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 cash r credit card refunds.
I
A ho ed Sign ture Date Authorized Signature Date
Lo d 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
family
West J r
West Park, 2700 W 116th Street O I`� V (f� 1 U `f/ C'V�J�D
t
7,
13y:
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.
Slatton, David Terms
9650 N. Augusta Dr., Ste 511 Date Due
Carmel, IN 46032
Invoice 4626722JRefund Description
Date (or note attached invoice(s) or bill(s))
Amount
6/2/11 240.00
Total 240.00
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
20_
Clerk- Treasurer
i
I
Voucher No. Warrant No.
Slatton, David Allowed 20
9650 N. Augusta Dr., Ste 511
Carmel, IN 46032
In Sum of
240.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -6 626722 4358400 240.00 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
3 -Jun 2011
Signature
240.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund