HomeMy WebLinkAbout155836 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: T360728 Page 1 of 1
ONE CIVIC SQUARE POLLY NOBLE CHECK AMOUNT: $65.00
CARMEL, INDIANA 46032 5008 WESTWOOD DR
CARMEL IN 46033 CHECK NUMBER: 155836
CHECK DATE: 1/2312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1•_'047 4358400 81056 65.00 REFUNDS AWARDS INDE
i
ACTIVITY REFUND RECEIPT
M
Receipt 81056 FJA Payment Date: 01/03/2008 Hobsehold 14466
Horne Phone: (956)605 -3304 0 2008
Work Phone:
POLLY NOBLE Carmel Clay Parks Recreation
5008 WESTWOOD DRIVE 1235 Central Park Drive East
CARMEL, IN 46033 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 65.00- 65.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 65.00
Processed on 01/03/08 11:42:49 by BJC NEW REFUND AMOUNT 65.00
TOTAL REFUNDABLE'AMOUNT 65.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 65.00 Made By JOURNAL -RF With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4- ek Vocess. A check will be
issued o cash or credit card refunds.
•A t rized Signat Da e Authorized Signa ure Da
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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.
Polly Noble Terms
5008 Westwood Dr. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
113/08 81056 Refund 65.00
Total 65.00
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.
Polly Noble Allowed 20
5008 Westwood Dr.
Carmel, IN 46033
In Sum of
65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 81056 4358400 65.00 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 -Jan 2008
Sign ure
65.00 Business Servi Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund