HomeMy WebLinkAbout199459 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365482 Page 1 of 1
ONE CIVIC SQUARE PAMELA FREDERICK
CHECK AMOUNT: $315.00
CARMEL, INDIANA 46032 1137 HELFORD LANE
CARMEL IN 46032 CHECK NUMBER: 199459
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 315.00 REFUND
PASS REFUND RECEIPT
Receipt 662879
Payment Date: 07/07/11
Household 3955
Monon Community Center Pamela Frederick Hm Ph: (317)575 -8715
Carmel IN 46032 1137 Helford Lane Wk Ph: (317)510 -2368
Carmel IN 46032 Cell Ph: (317)691 -1606
Phone: (317)848 -7275 dfrederick @indy.rr.com
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE
Pass Holder: Pamela Frederick Fees Tax Discount Prev Paid Our Paid Amount Due
Pass Type: PT1 10x60 min (M PT1106), #130217 135.00 0.00 0.00 0.00 135.00
Valid Dates: 02/15/2011 to 05/15/2012 Pass Change)
Pass Visit Info: Number of Visits: 7
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/07/11 09:40:43 by LWW FEES ADJUSTED ON CHANGED ITEMS 315.00
LR �X NET AMOUNT 1 ITEMS F:3 ;15:00�
i 'f✓laB� +g TOTAL AMOUNTbREFIJNDED
315:00'
d}•tj)L z 4 $315, NEW NET HOUSEHOLD BALANCE 0.00
Refund of 315,00 Made By REFUND FINAN With Reference Check refund
All refunds are subject to State Board of Accounts claim procedure and may t 4 -6 w ks to process. A check will be
issued. No cash or credit card refunds.
11-2011 1 1 Ir
Authorized Signature Date Auto rized Zonature at
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 1child 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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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.
Frederick, Pamela Terms
1137 Helford Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/7/11 662879 Refund 315.00
Total 315.00
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
Voucher No. Warrant No.
Frederick, Pamela Allowed 20
1137 Helford Lane
Carmel, IN 46032
In Sum of
315.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -22 662879 4358400 315.00 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
13 -Jul 2011
Signature
315.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund