HomeMy WebLinkAbout201423 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365654 Page 1 of 1
is 0 ONE CIVIC SQUARE ST MARK'S UNITED METHODIST CHUR HECK AMOUNT: $350.00
CARMEL, INDIANA 46032 4780 E 126TH STREET
CARMEL IN 46033 CHECK NUMBER: 201423
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4358400 350.00 PARKS DEPARTMENT REFU
I
FACILITY REFUND RECEIPT
Receipt 719435
Payment Date: 08/26/11
Household 36218
Monon Community Center Church St Mark's United Met
Carmel IN 46032 4780 E. 126th St
Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275 kaeli2929 @yahoo.com
Fed Tax ID #35- 6000972
Facility Reservation Details. n
RESERVATION CHANGE Refund Of 350.00
Facility: Monon Community Cntr, Outdoor Aqua Park; AUG 3 j 10� 1
Reserv. Contact: Church St Mark's United Met
Reserv. Number: 17168 Status: Firm
Purpose: Back to School Waterpark rental St Marks UMC s o
Date aay Time Fees Tax Discount Prev Paid Cur Paid Amount Due
08/13/2011 Sat 8:30P to 10:30P 400.00 0.00 400.00 0.00 0.00
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
nRental Aqua Centers 400.00 1.00 0.00 0.00 400.00
Special Questions: How did you hear about the Monon Center: Attended another event
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/26/11 11:22:43 by CEK FEES ADJUSTED ON CHANGED ITEMS 350.00
(/4+xf�y Qace r• cQ VG+1'( NET AMOUNT FROM CHANGED ITEMS 350:00
J_��7 I/te�OU�S TOTAL AMOUNT REFUNDED 350.00
II1l NEW NET HOUSEHOLD BALANCE 0.00
Refund of 350.00 Made By REFUND FINAN With Reference weather related
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
)-C. I i
Authorized Signature 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 a.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.
St. Mark's United Methodist Church Terms
4780 E. 126th St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/11 719435 Refund 350.00
r x
f
Total 350.00
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
1
Voucher No. Warrant No.
St. Mark's United Methodist Church Allowed 20
4780 E. 126th St.
Carmel, IN 46033
In Sum of
350.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 719435 4358400 350.00 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 -Sep 2011
Signature
350.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund