HomeMy WebLinkAbout211778 08/14/2012 - CITY OF CARMEL, INDIANA VENDOR: 366474 Page 1 of 1
Q� ONE CIVIC SQUARE DAVID HILLMAN CHECK AMOUNT: $122.00
®4' CARMEL, INDIANA 46032 414 WINDHAM PASS
CARMEL IN 46032 CHECK NUMBER: 211778
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 915470 122 . 00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Carmel p Clay Receipt# 915470
Payment Date: 07/27/12
Parks&Recreation Household#: 34162
Monon Community Center David Hillman
Carmel IN 46032 414 Windham Pass
Carmel IN 46032 Cell Ph:(317)645-5075
sustainedeuphoria @gmail.com,holbol465 @gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 122.00- 122.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 122.00
Processed on 07/27112 @ 15:54:08 by CNA NEW REFUND AMOUNT(-) 122.00
TOTAL REFUNDABLE AMOUNT 122.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 122.00 Made By==>REFUND FINAN With Reference=>low enrollment
All refunds are subject to State Board of Accounts claim procedure and ma - w eks to process. A check will be
issued. No cash or credit card refunds.
6,4&�al -7/V)/12-
Autf6zed Signature Dale / rature 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://201lcprv.theregistrationsystem.com/en/1033!
DAY PASSES ARE NON-REFUNDABLE
JUL 3 12012 II�
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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
Hillman, David Date Due
414 Windham Pass
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s))
Amount
7127112 915470 Refund $ 122.00
Total $ 122.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
Hillman, David
414 Windham Pass
Carmel, IN 46032 In Sum of$
$ 122.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
915470 4358400 $ 122.00 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
9-Aug 2012
Signature
$ 122.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund