HomeMy WebLinkAbout208797 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366225 Page 1 of 1
ONE CIVIC SQUARE KAREN MAURER
CARMEL, INDIANA 46032 12977 FLEETWOOD DRIVE NORTH CHECK AMOUNT: $66.00
CARMEL IN 46032
CHECK NUMBER: 208797
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 66.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 817709
C armel o Clay Payment Date: 04/25/12
J rks Ac creato oln Household 22430
Monon Community Center li Maurer Hm Ph: (317)529 -6493
Carmel IN 46032 12977 Fleetwood Drive North
Carmel IN 46032 Cell Ph:
karenrae@gmail.com
Phone: (317)848 -7275 BY:
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 66.00
Pass Holder: Karen Maurer Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: KZ 50 Visit (M Z50), #43873 9.00 0.00 9.00 0.00 0.00
Valid Dates: 12/20/2010 to 03/20/2012 (Pass Cancellation)
Cancel Reason: prorated request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/25/12 15:44:54 by LVA FEES CHANGED ON CANCELLED ITEMS 66.00
NET AMOUNT FROM CANCELLED ITEMS 66.00
TOTAL AMOUNT REFUNDED 66.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 66.00 Made By REFUND FINAN With Reference prorated refund
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 eeks to process. A check will be
Issued. No cash or credit card refunds.
Authorized Sig re Date Authoy ze" Signa ur 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:H 2011cpry .theregistrationsystem.com /en /1033!
4 u���o Q
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.
Maurer, Karen Terms
12977 Fleetwood Drive North Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/25/12 817709 Refund 66.00
Total 66.00
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.
Maurer, Karen Allowed 20
12977 Fleetwood Drive North
Carmel, IN 46032
In Sum of
66.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -41 817709 4358400 66.00 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
3 -May 2012
L�J
Signature
66.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund