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HomeMy WebLinkAbout207789 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366161 Page 1 of 1 ONE CIVIC SQUARE DELYNN HUFF CHECK AMOUNT: $76.00 CARMEL, INDIANA 46032 9768 KITTRELL DRIVE INDIANAPOLIS IN 46280 CHECK NUMBER: 207789 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 76.00 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt 803073 Carmel O c loy Payment Date: 03/20/12 J Household ousehold 46300 Morton Community Center Delynn Huff Hm Ph: (317)706 -0482 Carmel IN 46032 MAR 2 6 2012 D 9768 Kittrell Drive Wk Ph: (317)338 -3113 Indianapolis IN 46280 Cell Ph: (317)716-6764 dhuff @vast- alert.com Phone: (317)848 7275, Fed Tax ID #35- 6000972 Pass Details MEMBERSHIP CHANGE Refund Of 76.00 Pass Holder: Delynn Huff Fees +Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MCorp HH Mty (M CPHHM), #159500 0.00 0.00 0.00 0.00 0.00 Valid Dates: 03/09/2012 to 03/08/2013 (Pass Change) Special Questions: Company: St. Vincent Health PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 03120/12 11:14:40 by MJN FEES ADJUSTED ON CHANGED ITEMS 76.00 NET AMOUNT FROM CHANGED ITEMS 7fi:00 n� PS In �c� ✓a� TOTAL AMOUNT REFUNDED 76.00. NEW NET HOUSEHOLD BALANCE 0.00 Refund of 0` 76.00 7 Made By REFUND FINAN With Reference staff error All refunds are subject to State Board of Accounts claim procedure and may tak weeolks to process. A check will be issued. No cash or credit card refunds. J 3/ 9 �l &122112 Aurl Signature Date Au or e Sign lure 5ate 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 cpry .theregistrationsystem.com /en /1033! Paged 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. Huff, Delynn Terms 9768 Kittrell Drive Date Due Indianapolis, IN 46280 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/20/12 803073 Refund 76.00 Total 76.00 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. Huff, Delynn Allowed 20 9768 Kittrell Drive Indianapolis, IN 46280 In Sum of 76.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #rDTLE AMOUNT Board Members Dept 1092 803073 4358400 76.00 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 76.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund