HomeMy WebLinkAbout209841 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: T362235 Page 1 of 1
ONE CIVIC SQUARE ANGELA SAMS CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032 10665 HIGHLAND DRIVE
INDIANAPOLIS IN 46280 CHECK NUMBER: 209841
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 500.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Carmel Clay Receipt 06/ 01 83 802 5
/1
Payment Date: I 06//12
IarksAccreateon Household 999
Monon Community Center Angela Sams Hm Ph: (317)843 -0420
Carmel IN 46032 10665 Highland Dr. Wk Ph: (317)843 -1334
Indianapolis IN 46280 Cell Ph: (317)501-5799
angiesams @att.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 500.00- 500.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 500.00
Processed on 06/01/12 11:48:57 by JAB NEW REFUND AMOUNT 500.00
S C D I TOTAL REFUNDABLE AMOUNT 500.00
V L. I v� vi k NEW NET HOUSEHOLD BALANCE 0.00
Refund of 500.00 Made By REFUND FINAN With Reference check refund
re nds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or credit card refunds.
j Authoriz d 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
k/l 1 U Y L4- VIA-1
i
JUN 05 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.
Sams, Angela Terms
10665 Highland Dr Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
611112 838025 Refund 500.00
Total 500.00
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.
Sams, Angela Allowed 20
10665 Highland Dr
Indianapolis, IN 46280
n Sum of
500.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 838025 4358400 500.00 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
14 -Jun 2012
Signature
500.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
#t