209498 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 366285 Page 1 of 1
ONE CIVIC SQUARE JENNIFER BRENNAN
CARMEL, INDIANA 46032 1855 ARROW WOOD DRIVE CHECK AMOUNT: $72.00
CARMEL IN 46033 CHECK NUMBER: 209498
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 72.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 836246
C armel 0 Clay Payment Date: 05/29/12
NirksAccrcation Household 40340
Monon Community Center Jennifer Brennan Hm Ph: (317)607 -2767
Carmel IN 46032 1855 Arrow wood Dr. Wk Ph: (317)817 -0808
Carmel IN 46033 Ext.26242
Jbrennan23 @hotmail.com Cell Ph: (317)607-2767
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 72.00- 72.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 72.00
Processed on 05/29/12 15:24:07 by JAB NEW REFUND AMOUNT 72.00
0 TOTAL REFUNDABLE AMOUNT 72.00
V Y_ e fi V NEW NET HOUSEHOLD BALANCE 0.00
Refund of 72.00 Made By REFUND FINAN With Reference check 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.
l�4 f e
Auth r Signature Date Authorized Signature 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:H2011cpry .theregistrationsystem.com /en /1033!
DAY PASSES ARE NON REFUNDABLE
;rF
MAY 3 0 2012
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.
Brennan, Jennifer Terms
1855 Arrow Wood Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
72.00
5/29/12 836246 Refund
Total 72.00
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.
i
I.
Brennan, Jennifer Allowed 20
1855 Arrow Wood Dr
Carmel, IN 46033
In Sum of
72.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -02 836246 4358400 72.00 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
31 -May 2012
6��'oM m�
Signature
72.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund