198768 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365432 Page 1 of 1
ONE CIVIC SQUARE ELIZABETH STEWART CHECK AMOUNT: $145.00
CARMEL, INDIANA 46032 14498 BALDWIN LANE
o CARMEL IN 46032 CHECK NUMBER: 198768
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1092 4358400 631288 145.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 631288
Payment Date: 06/06/11
Household 11443
Monon Community Center Elizabeth Stewart Hm Ph: (317)258 -4998
Carmel IN 46032 14498 Baldwin Lane Wk Ph: (317)845 -9441
Carmel IN 46032 Cell Ph:(317)417 -2580
Phone: (317 )848 -7275 duramaterl2@sbcglobal.net,esoliwa8O@yahoo.com
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 145.00- 145.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 145.00
Processed on 06/06/11 16:44:12 by KLB NEW REFUND AMOUNT 145.00
:7OTAL'.RE FUN DAB
LE "AMOUNT. 1'45;pDi;=
NEW NET HOUSEHOLD BALANCE 0.00
IA
Refund of 145.00 Made By REFUND FINAN With Reference pass change
All refunds are subject to State Board of Accounts claim procedure and may tak we s t process. A check will be
issued. No cash or credit card refunds.
Authorized Signature Date uthor' a natur Dat
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 fl �Q5 .a o
4:30pm -1lam
family
Wes UN d 7 201 I
West Park, 2700 W 116th Street
]BY:
f�qZ. �358�00
1
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.
Stewart, Elizabeth' Terms
14498 Baldwin lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6161 631288 Refund 145.00
Total 145.00
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
Voucher No. Warrant No.
Stewart, Elizabeth Allowed 20
14498 Baldwin lane
Carmel, IN 46032
In Sum of
145.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1092 631288 4358400 145.00 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
16 -Jun 2011
Signature
145.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund