HomeMy WebLinkAbout218385 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 367027 Page 1 of 1
ONE CIVIC SQUARE SANDRA BECK CHECK AMOUNT: $295.05
CARMEL, INDIANA 46032 912 IRONWOOD DRIVE
CARMEL IN 46033 CHECK NUMBER: 218385
CHECK DATE: 3125/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 295 . 05 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
e
Receipt# 1026982
Payment Date: 03/19/13
Household#: 1173
Parks k6crdafldh
MAR 2 0 2013
Monon Community Center _PA"; — —Sandra Beck Hm Ph: (317)571-0749
Carmel IN 46032 TI-2-Ironwood Dr. Wk Ph: (317) -
Carmel IN 46033 Cell Ph:
spbeck @hotmail.com
Phone: (317)848-7275
.Fed Tax ID#35-6000972
Pass Details
CANCELLATION -Refund Of 295.05
Pass Holder: Sandra Beck Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: UnGrpFit Annual (M UGFA),#94993 4.95 0.00 4.95 0.00 0.00
Valid Dates: 03/13/2013 to 03/12/2014 (Pass Cancellation)
Cancellation Effective: 03/19/2013
Cancel Reason: cancelled the only class she went to
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/19/13 @ 21:46:53 by TOBY FEES CHANGED ON CANCELLED ITEMS(+) 295.05-
isNET'AMOUN;TRFROWCANCELLEDATEMS.-s'`w r ss195`.05'
:TOTALS�AMOUNT-REFUNOED6+;,--
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 295.05 Made By==>REFUND FINAN With Reference=_>
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
3 13
Authorized Signature Date Auth rized 20 nature 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.
Beck, Sandra Terms
912 Ironwood Dr. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/13 1026982 Refund $ 295.05
Total $ 295.05
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.
Beck, Sandra Allowed 20
912 Ironwood Dr.
Carmel, IN 46033
In Sum of$
$ 295.05
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 1026982 4358400 $ 295.05 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-Mar 2013
I
Signature
$ 295.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund