HomeMy WebLinkAbout200331 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 365612 Page 1 of 1
4� ONE CIVIC SQUARE ALI ABED ALI
CARMEL, INDIANA 46032 144 N CLARIDGE WAY CHECK AMOUNT: $1fi0.00
•y_ .o CARMEL IN 46032 CHECK NUMBER: 200331
CHECK DATE: $!1712011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 160.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 702412
Payment Date: 08/04/11
Household 2069
o 0 Rw
Monon Community enter
ry AUG o 2011 Ali Abed Ali Hm Ph: (317)815 -9266
Carmel IN 46032 1404 N Claridge Way Wk Ph: (765)448 -8000
Carmel IN 46032 Cell Ph: (317)363-5113
Phone: (317)848 -7275 layalizt @aol.com
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 160.00- 160.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 160.00
Processed on 08/04/11 12:44:01 by BJJ NEW REFUND AMOUNT 160.00
TOTAL REFUNDABLE AMOUNT 160.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 160.00 Made By REFUND FINAN With Reference
All refun s are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process Adill be
issued. o cash or credit card refunds.
uthorize ignature Date Authorized Signature Date
Join us for St. Vincent Tour de Carmel, a bike ride along 10 -mile and 20 -mile routes through the city of Carmel. Rest stops will
have a variety of healthy snacks, drinks and entertainment. After the ride, the finish line will offer more entertainment and
refreshments. The cost is $8 per rider ($10 for same- dayday -of registration). Pre register online at www.carmelclayparks.com
or pick up a form at the Monon Community Center. All participants will receive a goodie bag and a T -shirt if registered on or
before August 26.
The Adaptive 10 -mile Ride is for individuals with special needs only. Individuals will ride as a group on the 10 -mile route. Staff
will be staggered within the group throughout the ride. Group will meet at the Monon Community Center in the designated tent
at the start line for check -in at 8:00 a.m. Group will begin the ride at 8:30 m. sharp.
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Ali, Ali Abed Terms
1404 N Claridge Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/4/11 702412 Refund 160.00
Total 160.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Ali, Ali Abed Allowed 20
1404 N Claridge Way
Carmel, IN 46032
In Sum of$
160.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 702412 4358400 160.00 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
9 -Aug 2011
Signature
160.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund