HomeMy WebLinkAbout199093 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365446 Page 1 of 1
t ONE CIVIC SQUARE JEFFREY LAZARRUS CHECK AMOUNT: $95.00
CARMEL, INDIANA 46032 5157 WOODSIDE COURT
«o CARMEL IN 46033 CHECK NUMBER: 199093
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 95.00 REFUND
GLOBAL REFUND RECEIPT
Receipt 646970
Payment Date: 06/20/11
Household 35289
Monon Community Center Jeffrey Lazarrus Hm Ph: (317)979 -6528
Carmel IN 46032 5157 Woodside Ct Wk Ph: (317)
Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 95.00- 95.00 0.0o
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 95.00
Processed on 06/20/11 15:51:50 by TDJ NEW REFUND AMOUNT 95.00
TOTAL REFUNDABLE AMOUNT 95a1D
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 95.00 Made By REFUND FINAN With Reference cancellation refund
All refunds are subject to State Board of Accounts claim procedure and may eks process. A check will be
issued. No cash or credit card refunds.
lD Z 2
Authorized Signature Date t A or' ed natur 0
Kids, get your parents to take you to our Touch a Truck event. There are a ton of amazing trucks and vehicles onsite for you to
explore. You can run around them, climb on them, and honk their horns. How cool is that This event is held rain or shine and
will take place on Wednesday, July 27 from 10am -12pm at the Carmel High School Stadium (136th Street, west of Keystone).
The fee is $2 /child and registration must be completed online at www.carmelclayparks.com prior to the event. It's a great
event; you do not want to miss out!
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JUN 2 3 2011
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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.
Lazarrus, Jeffrey Terms
5157 Woodside Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6120111 646970 Refund 95.00
Total 95.00
I 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
Voucher No. Warrant No.
Lazarrus, Jeffrey Allowed 20
5157 Woodside Ct
Carmel, IN 46033
In Sum of
95.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 646970 4358400 95.00 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
30 -Jun 2011
P&jij1)'ZML)?
Signature
i 95.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund