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Home My WebLink About198552 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