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Home My WebLink About213001 09/25/2012 a CITY OF CARMEL, INDIANA VENDOR: 366551 Page 1 of 1 ' ONE CIVIC SQUARE ELIZABETH FINNY CARMEL, INDIANA 46032 11406 DONA DRIVE CHECK AMOUNT: $90.00 CARMEL IN 46033 CHECK NUMBER: 213001 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 90 . 00 REFUNDS AWARDS & INDE GLOBAL REFUND RECEIPT Receipt# 952279 I yPayment Date: 09/19/12 J ar s&Recr atioin Household#: 49819 G d---, Woodbrook Elementary ._. . . te_a ]D Elizabeth Finny 4311 East 116th Street i 11406 Dona Dr. Wk Ph: (317)844-0168 Carmel IN 46033 SEP 2 0 2012 Carmel IN 46033 Cell Ph:(317)670-9755 me @elizabethfinney.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Pass Details MEMBERSHIP CHANGE Pass Holder: Marrisa Finny Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 10-Visit (ESE10V), #178552 45.00 0.00 45.00 0.00 0.00 Valid Dates: 08/15/2012 to 05/29/2013 (Pass Change) Pass Visit Info: Number of Visits: 17 MEMBERSHIP CHANGE - Refund Of 90.00 Pass Holder: Miranda Finny Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 10-Visit (ESE10V), #178556 45.00 0.00 45.00 0.00 0.00 Valid Dates: 08/15/2012 to 05/29/2013 (Pass Change) Pass Visit Info: Number of Visits: 17 The following item reflects a payment towards a previous receipt Pass Holder: Marrisa Finny Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 1 O-Visit(ESE1OV),#178552 45.00 0.00 0.00 45.00 0.00 Valid Dates: 08/15/2012 to 05/29/2013 (Pass Change) Pass Visit Info: Number of Visits: 17 The following item reflects a payment towards a previous receipt Pass Holder: Miranda Finny Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 10-Visit (ESE10V), #178556 45.00 0.00 0.00 45.00 0.00 Valid Dates: 08/15/2012 to 05/29/2013 (Pass Change) Pass Visit Info: Number of Visits: 17 PREVIOUS NET HOUSEHOLD BALANCE 90.00 Processed on 09/19/12 @ 12:04:27 by NUP FEES ADJUSTED ON CHANGED ITEMS(+) 180.00- NET AMOUNT.FROM CHANGED1TEMS 180:00 HH BALANCE APPLIED TO THIS RECEIPT(+) 90.00 TOTAL AMOUNT REFUNDED 90.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 90.00 Made By=_>REFUND FINAN With Reference=_>CCS Employee Payment of=_> 90.00 Made By=_> Pass Management Credit Balance 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. Page# 1 of 2 Carmel o C18Y GLOBAL REFUND RECEIPT Receipt# 952279 Parks& ecr atioh Payment Date: 09/19/2012 Household #: 49819 i . Authorized Si re Date Authorized Signature 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. � r l l V Page# 2 of 2 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 Finny, Elizabeth Date Due 11406 Dona Dr Carmel, IN 46033 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $ 90.00 9/19/12 952279 Refund Total $ 90.00 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. Finny, Elizabeth Allowed 20 11406 Dona Dr Carmel, IN 46033 In Sum of$ $ 90.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-11 952279 4358400 $ 90.00 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 20-Sep 2012 Signature $ 90.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund