HomeMy WebLinkAbout212310 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366502 Page 1 of 1
ONE CIVIC SQUARE TSEPANG NARE CHECK AMOUNT: $126.00
CARMEL, INDIANA 46032 57 MONON LANE
CARMEL IN 46032 CHECK NUMBER: 212310
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 126 . 00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Care 9 1py Receipt#Payment Date: 08/2 17
08/21/12
Household #: 38195
(arksAecrcatlon
Monon Community Center AUG 2 2 2012 Tsepang Nare
Carmel IN 46032 ! i 57 Monon Lane
Carmel IN 46032 Cell Ph:(317)748-9805
tnare @umail.iu.edu
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 126.00- 126.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 126.00
Processed on 08/21/12 @ 09:12:12 by JAB NEW REFUND AMOUNT() 126.00
� / r l TOTAL REFUNDABLE AMOUNT 126.00
VLL� 'L NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 126.00 Made By==>REFUND FINAN With Reference=_>check refund
rids are subject t tate Board of Accounts claim procedure and may take 4-6 weeks to process. A check will be
issued. No cash or cr it ca refunds.
Authon S' ature Date Authorized Signature Date
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized ust show;hourkn d of service,where price pro nit , dates service rendered, by
whom, rates per day, number of h rat N
Payee Purchase Order No.
Terms
Nare, Tsepang Date Due
57 Monon Lane
Carmel, IN 46032
Invoice Invoice
Description Amount
Date Number (or note attached invoice(s) or bill(s)) 126.00
8121112 938417 Refund
Total $ 126.00
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.
Nare, Tsepang Allowed 20
57 Monon Lane
Carmel, IN 46032
In Sum of$
$ 126.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-1 938417 4358400 $ 126.00 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
23-Aug 2012
9 6dw
Signature
$ 126.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund