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Home My WebLink About217854 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 366978 Page 1 of 1 ONE CIVIC SQUARE SHERI VANCE CHECK AMOUNT: $70.00 CARMEL, INDIANA 46032 3606 BRUNSWICK DR CARMEL IN 46033 CHECK NUMBER: 217854 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 70 . 00 REFUND i GLOBAL REFUND RECEIPT arm,e I o cay Receipt# 1007178 Payment Date: 02/13/13 Fars&(recreation Household #: 14322 Monon Community Center CEIV ED Carmel IN 46032 FEB 14 2013 Sheri Vance Hm Ph: (317)843-0125 3606 Brunswick Dr Carmel IN 46033 Cell Ph: Phone: (317)848-7275 BY:---`�___ ` sheri_vance @sbcglobal.net Fed Tax ID#35-6000972 -- I I Pass Details CANCELLATION -Refund Of 35.00 Pass Holder: Greg Vance Pass Type: MC Adlt Mthly(M MCAM); #125059 Fees+Tax Discount Prev Paid Cur Paid Amount Due Valid Dates: 12/19/2011 to 12/18/2012 (Pass Cancellation) 385.00 0.00 0.00 385.00 Cancellation Effective: 02/13/2013 0.00 CANCELLATION - Refund Of 35.00 Pass Holder: Greg Vance Pass Type: MC Adlt Mthly (M MCAM), #125069 Fees+Tax Discount Prev Paid Cur Paid Amount Due Valid Dates: 12/19/2012 to 12/18/2013 (Pass Cancellation) 0.00 0.00 0.00 0.00 Cancellation Effective: 02/13/2013 0.00 PREVIOUS NET HOUSEHOLD BALANCE Processed on 02/13/13 @ 15:28:22 by KLB 0.00 FEES CHANGED ON CANCELLED ITEMS(+) SURCHARGE APPLIED AGAINST CANCELLED FEES - 385.00- 0 385.00- NET AMOUNT FROM CANCELLED ITEMS w„ 70.00- TOTALAMOUNTREFUNDED 70.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 70.00 Made By=_>REFUND FIN ith Reference=_>staff error All refunds are subject to State Board of Accou an may take 4-6 week process. No cash refunds will be issued. Authorized Signature Date A orize a ure ate Escape Day Passes are non-refundable. i I I IN2, y�y0 D 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. Vance, Sheri Terms 3606 Brunswick Dr Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/13/13 1007178 Refund $ 70.00 Total $ 70.00 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. Vance, Sheri Allowed 20 3606 Brunswick Dr Carmel, IN 46033 In Sum of$ $ 70.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1092 1007178 4358400 $ 70.00 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 21-Feb 2013 Signature $ 70.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund