206203 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 356431 Page 1 of 1
0 ONE CIVIC SQUARE NICOLE DALY CHECK AMOUNT: $42.00
o CARMEL, INDIANA 46032 13109 FRANKLIN HALL TRAIL
y roN CARMEL IN 46033 CHECK NUMBER: 206203
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 42.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 783514
Carmel 1D Clay Payment Date: 02/09/12
Parks &recreation Household 2659
Monon Community Center FEB 13 1012 Nicole Daly Hm Ph: (317)571 -0904
Carmel IN 46032 13109 Franklin Hall Trail
Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275 BY: ndalyl Qsbcglobal.net
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 42.00- 42.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 42.00
Processed on 02/09/12 15:17:10 by JAB NEW REFUND AMOUNT 42.00
+3G I TOTAL REFUNDABLE AMOUNT 42.00
Q V v n NEW NET HOUSEHOLD BALANCE 0.00
Refund of 42.00 Made By REFUND FINAN With Reference check refund
All refunds a subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
is e o ca or credit funds. GG
Authorize ignature 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: //2011 cprv. theregistrationsystem .com /en /l 033!
Page 1 of 1
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.
Daly, Nicole Terms
13109 Franklin Hall Trail Date Due
Carmel, IN 46033
Invoice A783514 Description
Date
note attached invoice(s) or bill(s)) Amount
42.00
2/9/12 ERefundj
Tot al 42.00
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.
Daly, Nicole Allowed 20
13109 Franklin Hall Trail
Carmel, IN 46033
In Sum of
42.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 783514 4358400 42.00 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
13 -Feb 2012
Signature
42.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund