208880 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 360032 Page 1 of 1
ONE CIVIC SQUARE LUISA STIGGLEMAN
CARMEL, INDIANA 46032 13204 LAMANA PLACE CHECK AMOUNT: $210.75
WESTFIELD IN 46074 CHECK NUMBER: 208880
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 210.75 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 818196
Carmel 9 Clay Payment Date: 04/27/12
Household 1608
larks Recreation
Monon Community Center, z Luisa Stiggleman Hm Ph: (317)873 -4861
Carmel IN 46032 13204 Lamana PI Wk Ph: (317)
Westfield IN 46074 Cell Ph: (317)385 -0594
Phone: (317)848 -7275 BY. r- Istigg @juno.com
Fed Tax ID #35- 6000972
Refund Details
Orig Bal Refund New Bal
Module: Pass Management 210.75- 210.75 0.00
PREVIOUS NET HOUSEHOLD BALANCE 210.75
Processed on 04/27/12 11:33:55 by KLB NEW REFUND AMOUNT 210.75
TOTAL REFUNDABLE AMOUNT,` 210:75
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 210.75 Made By REFUND FINAN With Reference ESE Refund
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 cash or credit card refunds. (J
A &7112
Authori ed It ature Date I A horiz ignature 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:H2011cprv.theregistrationsystem.com/en/1033!
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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.
Stiggleman, Luisa Terms
13204 Lamana PI Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/27/12 818196 Refund 210.75
Total 210.75
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.
Stiggleman, Luisa Allowed 20
13204 Lamana PI
Westfield, IN 46074
In Sum of
210.75
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -3 818196 4358400 210.75 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
Signature
210.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund