HomeMy WebLinkAbout207788 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366160 Page 1 of 1
0 ONE CIVIC SQUARE ROBERT HAWK CHECK AMOUNT: $20.00
CARMEL, INDIANA 46032 11545 LARKSPUR LANE
M�.rori �o_ CARMEL IN 46032 CHECK NUMBER: 207788
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 20.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 803615
Carmel 0 lay Payment Date: 03/22/12
p Household 38588
Parks&Recreatior�
Monon Community Center AR 6 2012 Robert Hawk Hm Ph: (317)753 -6663
Carmel IN 46032 11545 Larkspur Lane Wk Ph: (317)753 -6663
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275 JW
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 20.00- 20.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 20.00
Processed on 03/22/12 10:51:29 by MML NEW REFUND AMOUNT 20.00
TOTAL REFUNDABLE AMOUNT 20.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu d. No cash or cred' card refunds.
31 2211 2-
Authorized ure Si Dale t A ut orize gnature 6ate
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:// 2O11cpry .theregistrationsystem.com /en /l 033!
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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.
Hawk, Robert Terms
11545 Larkspur Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/22/12 803615 Refund 20.00
Total 20.00
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.
Hawk, Robert Allowed 20
11545 Larkspur Lane
Carmel, IN 46032
In Sum of
20.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1096 -22 803615 4358400 20.00 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
5 -Apr 2012
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund