HomeMy WebLinkAbout200446 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 365613 Page 1 of 1
ONE CIVIC SQUARE IRINA GLADKOV CHECK AMOUNT: $36.00
CARMEL, INDIANA 46032 2206 BURNING TREE LANE
CARMEL IN 46032 CHECK NUMBER: 200446
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 36.00 REFUND
PASS REFUND RECEIPT
Receipt 7078916
Payment Date: 08/09/11
Household 36754
Monon Community Center Irina Gladkov Hm Ph: (317)414 -2292
Carmel IN 46032 2206 Burning Tree Lane Wk Ph: (317)
Carmel IN 46032 Cell Ph:
gladkov6@lilly.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 36.00- 36.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 36.00
Processed on 08/09/11 10:07:51 by JAB f 1 TOTAL REFUNNEW REFUND AMOUNT 36.00
—3 C �t U f1 DABLE AMOUNT 36.00
V -tom NEW NET HOUSEHOLD BALANCE 0.00
Refund of 36.00 Made By REFUND FINAN With Reference check refund
re ds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
i sued. IN cash or credit card refunds. J
Authori d ignature Date Authorized Signature Date
Join 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 5:00 a.m. Group will begin the ride at 8:30 a.m. sharp.
f"V V. k C
AUG 0 9 2011
D A
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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.
Gladkov, Irina Terms
2206 Burning Tree Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoices) or bill(s)) Amount
819111 707896 Refund 36.00
Total 36.00
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.
Gladkov, Irina Allowed 20
2206 Burning Tree Lane
Carmel, IN 46032
In Sum of
36.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -9 707896 4358400 36.00 '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
36.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund