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Home My WebLink About212617 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 366524 Page 1 of 1 0 ONE CIVIC SQUARE PAM HERRINGTON CHECK AMOUNT: $107.00 CARMEL, INDIANA 46032 6501 MASSACHUSETTS AVE INDIANAPOLIS IN 46226 CHECK NUMBER: 212617 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4358400 107 . 00 REFUNDS AWARDS & INDE FACILITY REFUND RECEIPT Receipt# 942834 Payment Date: 08/31/12 Household #: 49299 I'ks&R&cr.ec3t-1.0 Monon Community Center Pam Herrington Hm Ph: (317)590-7267 Carmel IN 46032 6501 Massachuesetts Ave Indianapolis IN 46226 Cell Ph: pamherrington57 @yahoo.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Facility Reservation Details T 777-7770 CANCELLATION -Refund Of 107.00 SEP 4 4 2012 Facility: Central Park, Central Park East 2 Reserv.Contact: Pam Herrington, HM: (317)590-7267 Reserv.Number: 21770 Status: Cancelled _- - Purpose: Painters Local 47 Picnic — Anticipated Count: 60 Date Day Time Fees+Tax Discount Prev Paid Cur Paid Amount Due 08/25/2012 Sat 9:OOA to 7:OOP 0.00 0.00 0.00 0.00 0.00 Cancel Reason: aterpark was closed for the day PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 08/31/12 @ 15:37:59 by TLP FEES CHANGED ON CANCELLED ITEMS(+) 100.00- SALES TAX CHARGED ON CANCELLED FEES(+) 7.00- NET AMOUNT FROM CANCELLED ITEMS: 107.00- TOTAL'AMOUNT,REFUNDED. 107:00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 107.00 Made By=_>REFUND FINAN With Reference=_> All refunds are subject to State Board of Accounts claim procedure and may take 4-6 weeks to process. A check will be issued. No cash or credit card refunds. The count for this line item ' rot be known until after the reservation date. Therefore, both the count and the extension are left at zero for ervati urp6 es, but will be updated after the reservat' n dat so as this data is available, you will be invoiced r e c e t m6 t due. Please remit to our offic 10 da e i oice date. Adthoriz d Signat Date Author' ed Sign ure Date Join us for Tour de Carmel Bike along with us on Saturday, September 15, as we highlight some of the best parks, businesses, and entertainment Carmel has to offer.This is a safe and family friendly event that allows you to create lasting memories while promoting fitness. From training wheels to pedal clips, we have a route for you! Don't want to ride? Come volunteer with us! For more information visit www.carmelclayparks.com. 0a5.3. 435113400 Page# 1 of 1 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. Herrington, Pam Terms 6501 Massachusetts Ave Date Due Indianapolis, IN 46226 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/31/12 942834 Refund $ 107.00 Total $ 107.00 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. Herrington, Pam Allowed 20 6501 Massachusetts Ave Indianapolis, IN 46226 In Sum of$ $ 107.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-3 942834 4358400 $ 107.00 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 6-Sep 2012 Signature $ 107.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund