HomeMy WebLinkAbout198552 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365429 Page 1 of 1
i 1 ONE CIVIC SQUARE JOHNNY HE CHECK AMOUNT: $66.00
CARMEL, INDIANA 46032 5271 ARAPAHO WAY
off CARMEL IN 46033 CHECK NUMBER: 198552
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 66.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 631024
Payment Date: 06/06/11
Household 4982
Monon Community Center Johnny He Hm Ph: (317)844 -0970
Carmel IN 46032 5271 Arapaho Way Wk Ph: (317)274 -7525
Carmel IN 46033 Cell Ph: (317)459-7613
yliu2 @iupui.edu
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 66.00
Pass Holder. Victor He Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type. 20 -Visit (ESE20V), #57342 154.00 0.00 154.00 0.00 0.00
Valid Dates: 08/12/2008 to 05/27/2010 Pass Cancellation)
Pass visit Info: Number of Visits: 6
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/06111 14:43:48 by BJJ FEES CHANGED ON CANCELLED ITEMS 66.00
1NET AMOUNT: FROM CANCEL'L'ED', ITEMS- 66 O
TOTAL REFUNDED 66':00 V
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 66.00 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. ash or credit card refunds.
Auf prized 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. 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
$40 /family JUN 0 7 2011
West Park, 2700 W 116th Street
t o BY:
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.
He, Johnny Terms
5271 Arapaho Way Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
616111 631024 Refund 66.00
Total 66.00
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.
He, Johnny Allowed 20
5271 Arapaho Way
Carmel, IN 46033
In Sum of
66.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members
Dept
1081 -7 631024 4358400 66.00 E 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
66.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund