HomeMy WebLinkAbout199123 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365447 Page 1 of 1
ONE CIVIC SQUARE KISHANI NOORI CHECK AMOUNT: $31.50
CARMEL, INDIANA 46032 6421 BORASCO DRIVE, UNIT 1204
MELBOURNE FL 32940 CHECK NUMBER: 199123
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 31.50 REFUND
PASS REFUND RECEIPT
Receipt 648451
Payment Date: 06/22/11
Household 31154
Monon Community Center Kishani Noori Hm Ph: (513)477 -9317
Carmel IN 46032 (D420 &,A%ca A-r,
M0b0VrhjL FL 329 Cell Ph:
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Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 31.50
Pass Holder: Kishani Noori Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Corp 10 Adult (CORP 10A), #111096 0.00 0.00 0.00 0.00 0.00
Valid Dates: 06/07/2011 to 06/30/2012 Pass Cancellation)
Cancel Reason: Cancelled pass on June 9, 2011
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/22/11 15:57:56 by KLB FEES CHANGED ON CANCELLED ITEMS 31.50-
NET AMOUNT`FROM CANCELLE131TEMS 31.50
TOTAL AMOUNT REFUNDED. 31:50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 31.50 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take -4- week to process. A check will be
issued. No cash or credit card refunds.
Authorized Signature Date Au 9 zed Signa re Date
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!
loq2, H3S9900
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.
Noori, Kishani Terms
6421 Borasco Drive, Unit 1204 Date Due
Melbourne, FL 32940
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/22/11 648451 Refund 31.50
Total 31.50
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Noori, Kishani Allowed 20
6421 Borasco Drive, Unit 1204
Melbourne, FL 32940
In Sum of
31.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 648451 4358400 31.50 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
I
30 -Jun 2011
I
Signature
31.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund