HomeMy WebLinkAbout210483 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 366327 Page 1 of 1
ONE CIVIC SQUARE SHARON OLIVER CHECK AMOUNT: $60.00
�t CARMEL, INDIANA 46032 4762 BENTLEY DRIVE
CARMEL IN 46033 CHECK NUMBER: 210483
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 60.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 872434
C armel C lay Payment Date: 06/26/12
Household ousehold 48499
r irSt f��
Monon Community Center JUN 2 9 2012 Oliver,Sharon Hm Ph: (317)706 -0003
Carmel IN 46032 4762 Bentley Dr.
BY; Carmel IN 46033 Cell Ph: (317)626-1818
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
Pass Holder: Sharon Oliver Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: UnGpFt MCAYSAnn (M UGFTMA), #174170 240.00 0.00, 0.00 240.00:- 0.00
Valid Dates: 06/26/2012 to 06/04/2013 (Pass Transfer from UnGrpFit Annual)
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/26/12 15:10:32 by KLB FEES ADJUSTED ON CHANGED ITEMS 60.00
NET AMOUNT FROM CHANGED ITEMS 60.00
TOTAL AMOUNT REFUNDED 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By REFUND FINAN With Reference pass transfer
Payment of 240.00 Made By Pass Management Credit Balance
All refunds are subject to State Board of Accounts claim procedure and may tak eeks to rocess. A check will be
issued. No cash or credit card refunds.
cam. 2b.12
Authorized Signature Date Auth rize Si nature Date
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Volunteers are the foundation of Carmel Clay Parks Recreation and we need your help! We are currently seeking volunteers
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DAY PASSES ARE NON REFUNDABLE
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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.
Terms
Oliver, Sharon Date Due
4762 Bentley Dr.
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/12 872434 Refund 60.00
Total 60.00
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.
Allowed 20
Oliver, Sharon
4762 Bentley Dr.
Carmel, IN 46033 In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 872434 4358400 60.00 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
29 -Jun 2012
Signature
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund