HomeMy WebLinkAbout210857 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366406 Page 1 of 1
ONE CIVIC SQUARE IVA GEORGIEVA
CARMEL, INDIANA 46032 14603 STRAUSS DRIVE#2527 CHECK AMOUNT: $79.53
?� CARMEL IN 46032
CHECK NUMBER: 210857
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 5023990 79 . 53 REFUND
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CITE O_ ;RMEL
JAMES BRAINARD, WYOR
July 16, 2012
Iva Georgieva
14603 Strauss Dr. Apt 2527
Carmel, IN 46032
RE: INVOICE #201200325 DOS 01/20/2012
Dear Iva Georgieva:
Enclosed you will find a reimbursement check in the amount of$79.53.
On May 17 and ,Tune 28 we received a credit card payment from you for$79.53.
Enclosed is a refund for your duplicate payment.
If you have any questions, please feel free to contact me at (3 17) 571-2604.
Sincerely,
Michelle T. Harrington
Billing Administrator
CARMEL FIRE DPAARTNIENT
S'IEvr1,, A. Colors HEADQUARTERS
Two CIVIC SQunxe, CARMLI., TN 46032 C)Ma-, 317.571.2600, FAx 31.7.571.2615
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or 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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I 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
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
JUL 16 2012
0 `
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund