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HomeMy WebLinkAbout210306 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 366324 Page 1 of 1 0 ONE CIVIC SQUARE ASHLEY CHAMBERLAIN CHECK AMOUNT: $56.00 CARMEL, INDIANA 46032 3066 APILITA COURT CARMEL IN 46033 CHECK NUMBER: 210306 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 56.00 REFUNDS AWARDS INDE GLOBAL REFUND RECEIPT Receipt 855303 6 ,p Payment Date: 06/15/12 le Household 27482 i`ks R�cr attc n Monon Community Center EY IVEID Ashley Chamberlain Hm Ph: (317)331 -7810 Carmel IN 46Q32 3066 Apilita Ct. Phone: (317)848 -7275 9 2012 Ca rmel IN 46033 Cell Ph: Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 56.00 Pass Holder: Ashley Chamberlain Fees +Tax Discount Prev Paid Cur Paid Amount Due Pass Type: FIT Adlt Mnthly (XM FTAM), #70463 112.00 0.00 0.00 112.00 0.00 Valid Dates: 01/15/2012 to 01/ 3 (Pass Cancellation) Cancellation Effective: 06/15/201 Cancel Reason: emailed JBroman cancellation on 5/7/12. PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 06/15/12 10:29:07 by TLP FEES CHANGED ON CANCELLED ITEMS 168.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 112.00 NET -AMOUNT;F.ROM;CANCELLED:ITEMS 56;00- TOTAL'AMOUNT�REF.UNDED'..' i NEW NET HOUSEHOLD BALANCE 0.00 Refund of 56.00 Made By REFUND FINAN With Reference emailed JBroman 5/7 All refunds are subject t, Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No c or cr i c r refunds. 4Aut� th ri ed Signatu ate g u Au re ate 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 DAY PASSES ARE NON REFUNDABLE 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. Terms Chamberlain, Ashley Date Due 3066 Apilita Ct Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/15/12 855303 Refund 56.00 Total 56.00 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 r s Voucher No. Warrant No. Allowed 20 r Chamberlain, Ashley 3066 Apilita Ct Carmel, IN 46033 In Sum of 56.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1092 855303 4358400 56.00 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 28 -Jun 2012 PJjVjTnr'YU� Signature 56.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund