HomeMy WebLinkAbout215978 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 366808 Page 1 of 1
`. ONE CIVIC SQUARE TIFFANIE BOYD
CARMEL, INDIANA 46032 11713 RIVER ROAD CHECK AMOUNT: $100.00
CARMEL IN 46033 CHECK NUMBER: 215978
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 100 . 00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 987860
Carmel • Clay/ Payment Date: 01/02/13
Parks&Recreation Household #: 49965
Morton Community Center Boyd Tiffanie Hm Ph: (317)848-3416
Carmel IN 46032 11713 River Road Wk Ph: (317)845-0777
JAN 04 2013 Carmel IN 46033 Cell Ph:
tiff anieboyd3288@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972 BY:
Refund Details
Oria Bal Refund New Bat
Module: Activity Registration 100.00- 100.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 100.00
Processed on 01/02/13 @ 14:59:19 by JAB NEW REFUND AMOUNT(-) 100.00
I TOTAL REFUNDABLE AMOUNT 100.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 100.00 Made By==>REFUND FINAN With Reference==>check refund
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
ed.
o ized Si re Date Authorized Signature Date
Escape Day Passes are non-refundable.
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.
Boyd, Tiffanie Terms
11713 River Road Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/2/13 987860 Refund $ 100.00
Total $ 100.00
I 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.
Boyd, Tiffanie Allowed 20
11713 River Road
Carmel, IN 46033
In Sum of$
$ 100.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 987860 4358400 $ 100.00 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
3-Jan 2013
Z/7#Yxzy
_J&&A.;Z1,
Signature
$ 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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