HomeMy WebLinkAbout213312 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 366527 Page 1 of 1
ONE CIVIC SQUARE SHERRY WARREN
CARMEL, INDIANA 46032 13844 SALSBURY CREEK CHECK AMOUNT: $15.00
CARMEL IN 46032 CHECK NUMBER: 213312
«ON 0
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 15 . 00 PARKS DEPARTMENT REFU
{�{¢ (52 '0
rSEP
3acobi .txt 7 2012
smoky ROW Elementary clerk: AEB
Date: 09/13/2012 Time: 15:30:02 --
H/H: sherry Warren
F/M: Jacobi Warren
Description-------- ------_ Ext Price C� q q 00
Pass 0 - Type 0.00
Drop-In visit
From 08/15/2012 - 05/29/2013
RFYVV# 914-73/(c
----------------------------------------
----------------------------------------
Rcpt# 947316 Prev Bal : 0.00
New charges 15.00-
New Tax: 0.00
Total Due: 15.00-
Tot Refund: 15.00 r;✓�
New Bal : 0.00
Refun Type: Refund from Finance ` (�
REFU D FINAN Refund of: 15.00 J
VJ`
----- ----------
thorized Signature Date
------------------------- ------------ � �
Authorized signature Date ►+- Ry V�1 r)
I 3 �y.L�-�sbu. G-e��k
All refunds are subject to state Board
of Accounts claim procedure and may take I L �� 32—
4-6 weeks to process. A check will be '�I '►
issued. No cash or credit card refunds.
3oin 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.
Fed Tax ID #35-6000972
Om
Page 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.
Warren, Sherry Terms
13844 Salsbury Creek Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/13/12 947316 Refund $ 15.00
Total $ 15.00
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.
Warren, Sherry Ailowed 20
13844 Salsbury Creek
Carmel, IN 46032
In Sum of$
$ 15.00 _
ON ACCOUNT OF APPROPRIATION FOR _
108 - ESE
PO#or Board Members
Dept ept# INVOICE NO. ACCT#/TITLE AMOUNT
1081-8 947316 4358400 $ 15.00 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
4-Oct 2012
Signature
$ 15.00 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund