HomeMy WebLinkAbout219043 04/09/2013 a CITY OF CARMEL, INDIANA VENDOR: 367054 Page 1 of 1
} ONE CIVIC SQUARE DAVID STEENBERG CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 15313 EVANSTON CLOSE
NOBLESVILLE IN 46062 CHECK NUMBER: 219043
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1031587 55 . 00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Carmel � !Clay Receipt# 1031587
Payment Date: 04/04/13
Parks&Recreation Household #: 41927
�-"
Monon Community Center APR 0 L0�3 David Steenberg Hm Ph: (317)815-1050
Carmel IN 46032 15313 Evanston Close Wk Ph: (317)507-9046
Noblesville IN 46062 Cell Ph:(317)213-0093
RV• steenbergfamily @sbcglobal.net
Phone: (317)848-7275 = ----_—�
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 55.00- 55.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 55.00
Processed on 04/04/13 @ 14:00:12 by MNS NEW REFUND AMOUNT(-) 55.00
TOTAL REFUNDABLE AMOUNT 55.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 55.00 Made By==>REFUND FINAN With Reference=_>HH Balance Refund
All refunds are subject to State Board of Accounts procedures and may take 4-6 w to rocess. No cash refunds will be
issued.
Authorized Signature Date uth riz(Sign batd
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.
Steenberg, David Terms
15313 Evanston Close Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/4/13 1031587 Refund $ 55.00
Total $ 55.00
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.
Steenberg, David Allowed 20
15313 Evanston Close
Noblesville, IN 46062
In Sum of$
$ 55.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
1
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-10 1031587 4358400 $ 55.00 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
8-Apr 2013
Signature
$ 55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund