HomeMy WebLinkAbout210470 07/05/2012 l ,TY OF CARMEL, INDIANA VENDOR: 366254 F i2b
ONE CIVIC SQUARE NICET CHECK AMOUNT: $254.14
CARMEL, INDIANA 46032 C/O REGINA SMITH
1420 KING STREET CHECK NUMBER: 210470
ALEXANDRIA VA 22314
CHECK DATE: 7/5/2012
DEPARTMENT ACCOU PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
1095 4358400 873337 254.14 REFUNDS AWARDS INDE
FACILITY REFUND RECEIPT
Receip! 4 873337
(_armel o Clay Payrnew Dale: 06/27/12
PC'31 Rc- 101 1 H()Lr;enoId n <6397
;�egina sleven on Hni Phi (703)" 8
d0f)011 COMmunity Ce,-,ier
Carmel IN 46032 A;Ini Regina Smillh Wk Ph (317)
1420 King Street Cell Ph
Alexandria VA 22314
Phone (3!7)848- rste-vensonCynicet,ora
TAX ID ij')
Facility Reservation Details
CANCELLATION Refund Of 0.01
rz3c'llty Monon Community Cntr, Program Room A
R f S e ry Conlar-1 Regina Stevenson, HM'. (703)548-1518
Resery Numbe, 20321 Status Cancelled
NICET Exam C Tr
Pre" poic; Cur po'cl Due
7 3 '17) 5 _CP 1 77 2 7 06
Sales Tax T f) tal F
ti 7' 8,31 i 2 7 06
I,
No longer J=Llnc 0 ')CCL:aSO- "flou( Y
CANCELLATION Rctund 1 -3---_---------
M000n Community Cntr, Program Room B 201 1?
Regina Stevenson, HM: (703)548. 518 Cancelled
S(aius
N Numbe
2032 e e' q
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1 8 p Paid C,lf pald
Time ut's 127 06 0 0.1 o.oc Day )2; 06
Dale Sal 1 3 0 A t0 Total Fee 1 t; tUl'[p12 Count 122
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Carryiel e Clay FACILITY REFUND RECEIPT
Receipt 873337
PJIRS�� ,Rccrcatlofl Payment Date 06,'27,
Household J-' 45397
All rc-. are su'Dject lo State Board of Accounts claim procedure and may lake 4-6 weeks If- process. A chHck will be
F,sued Nz) cash or c card refunds
T�c ion are
i hc Count ioi lim m "'."h rol hE 1he bnih ihe count an the exlers
lefi a Zero fo f e5 e va lJon t�tl: vd E! e S soon 0 s Bala is avallaole, you vi)l
Clare
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Da 'kulhoiizeu Sicna:ure
Dale
Vclunieer with lj_
Voluri[eers are the foundaijon of Carmel 'ay Parks n Recreation v.e need your help' We are currently seeking volunteers
cr sPecial events. adaptive progrcfns, parks ar greenvvays, and Extended School Enrichment. It interested, please call Dana
at 31 843.3866 of regisie. online at Icptv iiheFegisiraiionsysteri comlenil 033!
DAY PASSES ARE NON-REFUNDABLE
Pepe i; 2 of 2
CCOUNTS PAYABLE VOUCHER
6- A CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where p 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
Date Due
NICET I
1420 King Street j
Alexandria, VA 22314
I
Invoice Invoice
Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6127112 873337 Refund 254.14
or bill is are true and correct and I have audited same in ac, 254.14
I hereby certify that the attached invoice(s), (s (are)
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
u.
Voucher No. Warrant No.
Allowed 20
NICIET
1420 King Street,
Alexandria, VA 22314 In Sum of
254.14
t
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept INVOICE NO. ACCT #!TITLE AMOUNT
1095 -3 873337 4358400 254.14 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
Signature
Accounts 11
able Coordinator
254.14 Title
Cost distribution ledger classification if
claim paid motor vehicle highwaY fund