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Home My WebLink About205723 01/31/2012 *f CITY OF CARMEL, INDIANA VENDOR: 365966 Page 1 of 1 ONE CIVIC SQUARE TERESA MYERS CHECK AMOUNT: $26.00 CARMEL, INDIANA 46032 726 W MAIN ST CARMEL IN 46032 CHECK NUMBER: 205723 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 26.00 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt 778865 Carmel el Clay Payment Date: 01/25/12 „j Parks &Recreation Household 20954 Carmel Elementary Teresa Myers Hm Ph: (317)846 -8006 101 4th Avenue SE 726 W Main St. Wk Ph: (317)212 -6385 Carmel IN 46033 Carmel IN 46032 Cell Ph: (317)443 -0302 telmac2@aol.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details Pass Holder: Berl Myers Fees Tax Discount Prey Paid Cur Paid Amount Due Pass Type: Sep Month PM (ESEMSP), #158448 211.00 0.00 0.00 211.00 0.00 Valid Dates: 09/06/2011 to 09/30/2011 (New Pass Registration) Pass Holder: Ben Myers Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Oct Month PM (ESEMOP), #158449 255.00 0.00 0.00 255.00 0.00 Valid Dates: 10/03/2011 to 11/04/2011 (New Pass Registration) Pass Holder: Ben Myers Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Nov Month PM (ESEMNP), #158450 200.00 0.00 0.00 200.00 0.00 Valid Dates: 11/07/2011 to 12/02/2011 (New Pass Registration) Pass Holder: Ben Myers Fees Tax Discount Prey Paid Cur Paid Amount Due Pass Type: Dec Month PM (ESEMDP), #158451 100.00 0.00 0.00 100.00 0.00 Valid Dates: 12/05/2011 to 12/15/2011 (New Pass Registration) Pass Holder: Ben Myers Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 4 -5 Week 20 PM (ESE4520P), #158452 57.00 0.00 0.00 57.00 0.00 Valid Dates: 01/03/2012 to 01/06/2012 (New Pass Registration) Pass Holder: Ben Myers Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 1 -3 Week 21 PM (ESE1321 P), #158453 38.00 0.00 0.00 38.00 0.00 Valid Dates: 01/09/2012 to 01/13/2012 (New Pass Registration) Pass Holder: Ben Myers Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 1 -3 Week 22 PM (ESE1322P), #158454 38.00 0.00 0.00 38.00 0.00 Valid Dates: 01/17/2012 to 01/20/2012 (New Pass Registration) Pass Holder: Ben Myers Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 1 -3 Week 23 PM (ESE1323P), #158455 38.00 0.00 0.00 38.00 0.00 Valid Dates: 01/23/2012 to 01/27/2012 (New Pass Registration) Pass Holder: Ben Myers Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 1 -3 Week 24 PM (ESE1324P), #158457 38.00 0.00 0.00 38.00 0.00 Valid Dates: 01/30/2012 to 02/03/2012 (New Pass Registration) Pass Holder: Ben Myers Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Aug Month PM (ESEMAP), #158447 211.00 0.00 0.00 211.00 0.00 Valid Dates: 08/09/2011 to 09/02/2011 (Pass Transfer from Flat Year PM) Page 1 of 2 PASS REFUND RECEIPT ��m�l�J Receipt# 778865 Darks &Recreation Payment Date: 01/25/2012 Household 20954 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 01/25/12 10:22:01 by SLH FEES ADJUSTED ON CHANGED ITEMS 26.00 NET AMOUNT FROM CHANGED ITEMS 26.00 Xv l XU (J (J TOTAL AMOUNT REFUNDED 26.00 p VV k� NEW NET HOUSEHOLD BALANCE 0.00 Refund of 26.00 Made By �=SRE(UND FINAN With Reference y t of 1,186.00 Made B Pass Management Credit Balance All refun are sub' t to State Board of A Pt�C`aim procedure and may take 4 -6 weeks to process. A check will be is ue cash r cr dit card refunds. a 1 -2, �Z Authori d 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:H2011 cprv. theregistrationsystem .com /en /l 033! JAN 2 6 2012 BY: Page 2 of 2 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. Myers, Teresa Terms 726 W main St Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/25/12 778865 Refund 26.00 Total 26.00 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. Myers, Teresa Allowed 20 726 W main St Carmel, IN 46032 In Sum of 26.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -1 778865 4358400 26.00 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 26 -Jan 2012 Signature 26.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund