HomeMy WebLinkAbout205721 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 365964 Page 1 of 1
ONE CIVIC SQUARE LORI MCCONNELL
CARMEL, INDIANA 46032 5527 WHITEHALL WAY CHECK AMOUNT: $256.00
CARMEL IN 46033
CHECK NUMBER: 205721
CHECK DATE: 1/3112012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 256.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 778397
Payment Date: 01/23/12
Household 36681
a rks &Re creation
p MqT9W
Marron Community Center J AN 2 4 2012 Lori McConnell Hm Ph: (317)706 -1099
C�Jrmel IN 46032 5527 Whitehall Way Wk Ph: (317)595 -5148
Carmel IN 46033 Cell Ph: (317)414 -1891
lori.mcconnell @umusic.com
Phone: (317)848 -7275 BY:
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 256.00 256.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 256.00
Processed on 01/23/12 13:22:32 by BJJ NEW REFUND AMOUNT 256.00
TOTAL REFUNDABLE AMOUNT 256:00,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 256.00 Made By REFUND FINAN With Reference
All refunds re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue d. N cash or credit card refunds. 11
Auth ed Signature Date Authorized Signature Date
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:// 2011cpry .theregistrationsystem.com /en /1033!
l
'J
Page 1 of 1
J
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.
McConnell, Lori Terms
5527 Whitehall Way Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/12 778397 Refund 256.00
Total 256.00
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.
McConnell, Lori Allowed 20
5527 Whitehall Way
Carmel, IN 46033
In Sum of
256.00
t
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -2 778397 4358400 256.00 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
26 -Jan 2012
Signature
256.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund