HomeMy WebLinkAbout221710 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 367241 Page 1 of 1
g � ONE CIVIC SQUARE SHAUNA D SMITH
®t CARMEL, INDIANA 46032 PO BOX 44613 CHECK AMOUNT: $26.00
INDIANAPOLIS IN 46244-0613 CHECK NUMBER: 221710
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 1082114 26 . 00 REFUNDS AWARDS & INDE
pp, G
001082114
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Mono.n Community Center Clerk: KLB
Date: 06/25/2013 Time: 11: 50:22
Daily sale
Description Ext Price "
---=------------------------ ------- -- JUN 25 2013
Time In/Amt: 11:49A 20.00-
Visit Type: WaterPk Adt Day
Visit Date ==> 06/25/2013 BY:
visit count: 2.00-
Time In/Amt: 11:49A 6.00-
Visit Type: WaterPk Yth Day
visit Date ==> 06/25/2013
visit Count: 1.00-
Pass Comments:
children must be age 11 or older to
utilize the pools and/or gymnasium
unaccompanied by an adult.
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RCpt# 1082114 Total Due: 26.00-
Tot Refund: 26.00
Refund Type: Refund from Finance
REFUND FINAN Refund of: 26.00
Ref: see comments
This refund will be mailed to:
shauna D. smith
PO Box 44613
Indianapolis IN 46244-0613
------------------------- ------------
Aut s g ature Date
---� - - ---------- -1425113----
Autho 'zed- ignature Date
All refunds are subject to state Board
of Accounts procedures and may take 4-6
week's to process. No cash refunds
will' be issued.
Escape Day Passes are non-refundable.
Fed Tax ID #35-6000972
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Rcpt# 1082114 �0 O L H35sq 00
Page 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.
Smith, Shauna D Terms
P.O. Box 44613 Date Due
Indianapolis, IN 46244-0613
Ij10821 ice Description
ber
or note attached invoice(s) or bill(s)) Amount
$ 26.00
14 Refund
Total $ 26.00
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
120
Clerk-Treasurer
----ter
Voucher No. Warrant No.
Smith, Shauna D Allowed 20
P.O. Box 44613
Indianapolis, IN 46244-0613
In Sum of$
$ 26.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 1082114 4358400 $ 26.00 I 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
1-Jul 2013
90-4�mn
Signature
$ 26.00 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund