HomeMy WebLinkAbout204444 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365830 Page 1 of 1
ONE CIVIC SQUARE LYUDMILA YASINKSKAYA CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 15135 PORCHESTER DR
NOBLESVILLE IN 46062 CHECK NUMBER: 204444
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 35.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 751639
Carmel Clay Payment Date: 11115/11
Prlks &Recreation Household 9705
Monon Community Center Lyudmila Yasinskaya Hm Ph: (317)414 -3344
Carmel IN 46032 15135 Porchester Dr
Noblesville IN 46062 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 35.00
Pass Holder: Valeriy Yasinskaya Fees_ Discount Prev Paid Cur Paid Amount Due
Pass Type: MC Adlt Mthly (M IVICAM), #134178 210.00 0.00 0.00 210.00 0.00
Valid Dates: 04/11/2011 to 04/11/2012 (Pass Cancellation)
Cancel Re orrs.., pass should have been cancelled back in early October
PREVIOUS NET HOUSEHOLD BALANCE 35.00
Processed on 11/15/11 16:35:07 by JLG FEES CHANGED ON CANCELLED ITEMS 280.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 210.00
NET AMOUNT FROM CANCELLED ITEMS 70.00
HH BALANCE APPLIED TO THIS RECEIPT 35.00
TOTAL AMOUNT REFUNDED 35:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference check refund
All ref ds a ski t Sta e r of Accounts claim procedure and may to wee to process. A check will be
is ed. o c sh or e r nr n s.
t
thorized ignature Date e Si ature ate
Volunteer with Us!
Volunteers are the foundation of Carmel Clay Parks Recreation and we need your help! We are currently seeking volunteers
for special events, adaptive programs, parks and greenways, and Extended School Enrichment. If interested, please call Dana
at 317.843.3868 or register online at https: l /2011cprv. theregistrationsystem .comlen11033!
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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.
Yasinkskaya, Lyudmila Terms
15135 Porchester Dr Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/15/11 751639 Refund 35.00
Total 35.00
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.
Yasinkskaya, Lyudmila Allowed 20
15135 Porchester Dr
Noblesville, IN 46062
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO #or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1092 751639 4358400 35.00 I 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
1 -Dec 2011
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund