HomeMy WebLinkAbout207623 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 364152 Page 1 of 1
ONE CIVIC SQUARE WILLIAM SULLIVAN CHECK AMOUNT: $315.00
CARMEL, INDIANA 46032 3743 MONTY CIRCLE
CARMEL IN 46032 CHECK NUMBER: 207623
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 315.00 PARKS DEPARTMENT REFU
LOCKER REFUND RECEIPT
Receipt 797976
C armel Clad D i� �y7 S Id 20999
ent Date: 03/14/12
r k s ecr 1o L� d5 1J J eho
MAR 14 7011
Carmel Clay Parks Recreation e William Sullivan Hm Ph: (317)879 -9985
1235 Central Park Drive East •••a743• Monty- 6ircle
Carmel IN 46032 Carmel IN 46032 Cell Ph: (317)531-2693
Phone: (317)848 -7275 wjsulliv @iupui.edu
Fed Tax ID #35- 6000972
Locker Registration Details:
CANCELLATION
Member Name: Lori Sullivan Fees Tax Discount Prev Paid Cur Paid Amount Due
Locker Room: Fitness Center Women 0.00 0.00 0.00 0.00 0.00
Locker Number: 96
Valid Dates: 03/01/11 to 03/01/12
CANCELLATION
Member Name: Lori Sullivan Fees Tax Discount Prev Paid Cur Paid Amount Due
Locker Room: Fitness Center Women 0.00 0.00 0.00 0.00 0.00
Locker Number: 96
Valid Dates: 03/01/12 to 02/28/13
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 315.00
Processed on 03/14/12 09:27:41 by ABK FEES CHANGED ON CANCELLED ITEMS 0.00
NETAMOUNTIFROM CANCELLEDJTEMS 0.00p
HH BALANCE APPLIED TO THIS RECEIPT 315.00
TOTALAMOUNT,REF"UNDED,: 315.00E?=
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 315.00 Made By REFUND FINAN With Reference Staff error
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 cas or credit card refunds.
Au orize ignat re Date Authorized Signature Date
Volunteer with Us! o��� 7`•3
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 cpry .theregistrationsystem.com /en /1033!
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.
Sullivan, William Terms
3743 Monty Circle Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/14/12 797976 Refund 315.00
.Total 315.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Sullivan, William Allowed 20
3743 Monty Circle
Carmel, IN 46032
In Sum of
315.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept ept INVOICE NO. ACCT #/TITLE AMOUNT
1096 -21 797976 4358400 315.00 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
22 -Mar 2012
I I
Signature
315.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund