HomeMy WebLinkAbout214188 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 366326 Page 1 of 1
ONE CIVIC SQUARE ANDREA METCLALFE
CARMEL, INDIANA 46032 10687 KINGS MILL DRIVE CHECK AMOUNT: $938.00
CARMEL IN A08Wk- ;tj CHECK NUMBER: 214188
`I CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 938 . 00 LOST CHECK REPLACEMEN
GLOBAL REFUND RECEIPT
Receipt# 870686
Ca mel o Clay Payment Date: 06/25/12
J Household#: 47692
Parks&Recreation
Monon Community Center F—TI-7CEI.� r,D Andrea Metcalfe Hm Ph: (260)330-2098
Carmel IN 46032 10687 Kings Mill Dr Wk Ph: (317)873-4659
JUN 2 7 2012 Carmel IN 46032 Cell Ph:(260)330-2098
andrea.metcalfe83 @gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972 BY:
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 938.00- 938.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 938.00.
Processed on 06/25/12 @ 11:23:39 by BJJ NEW REFUND AMOUNT(-) 938.00
TOTAL REFUNDABLE AMOUNT 938750
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 938.00 Made By=_>REFUND FINAN With Referent =_> 1082-1-4358400
All refunds are subject to State Board of Accounts claim procedure an may take 4-6 weeks to process. A check will bC
issu No cash or credit card refunds.
e .
LAI-K—rized Signature Date Authorized Signature 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://2011cpry.theregistrationsystem.com/en/1033!
DAY PASSES ARE NON-REFUNDABLE
Page M 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.
Metcalfe, Andrea Terms
10687 Kings Mill Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6125112 870686 Refund $ 938.00
Total $ 938.00
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.
Metcalfe, Andrea Allowed 20
10687 Kings Mill Dr
Carmel, IN 46032
In Sum of $
$ 938.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE N0. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-1 870686 4358400 $ 938.00 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
28-Jun 2012
Pjjuvvy)"(4-
Signature
$ 938.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund