216121 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 366813 Page 1 of 1
ONE CIVIC SQUARE BARBARA MEYERROSE CHECK AMOUNT: $48.00
` CARMEL, INDIANA 46032 12950 GRAND BLVD APT 2F
CARMEL IN 46032 CHECK NUMBER: 216121
CHECK DATE: 119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 48 . 00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 980419
Carmel a Clay Payment Date: 12/14/12
Household#: 8347
Irks&Recreatioh
Monon Community Center Barbara Meyerrose Hm Ph: (317)573-9819
Carmel IN 46032 12950 Grand Blvd. Apt. 2F Wk Ph: (317) -
Carmel IN 46032 Cell Ph:(317)372-9371
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 48.00- 48.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 48.00
Processed on 12/14/12 @ 11:10:32 by KLB NEW REFUND AMOUNT(-) 48.00
TOTAL REFUNDABLE AMOUNT 48.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 48.00 Made By==>REFUND FINAN With Reference=_>pass transfer
All refunds are subject to State Board of Accounts procedures and may take 4,-6w s to process. No cash refunds will be
issued.
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Authorized Signature Date Authori ed Si ature Date
Escape Day Passes are non-refundable.
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DEC 17 2012
BY.
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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.
Meyerrose, Barbara Terms
12950 Grand Blvd., Apt 2F Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/14/12 980419 Refund $ 48.00
Total $ 48.00
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.
Meyerrose, Barbara Allowed 20
12950 Grand Blvd., Apt 2F
Carmel, IN 46032
In Sum of$
$ 48.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 980419 4358400 $ 48.00 1 hdreby 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
Signature
$ 48.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund