223959 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 367556 Page 1 of 1
ONE CIVIC SQUARE TAMMY HARWOOD CHECK AMOUNT: $28.00
' o CARMEL, INDIANA 46032 530 ABERDEEN ST
CARMEL IN 46032 CHECK NUMBER: 223959
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 28 . 00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1141078
Cap me o Clay Payment Date: 08/27/13
Par sAc reation Household #: 44097
7AU � 2013
Monon Community Center Tammy Harwood
Carmel IN 46032 ��: 530 Aberdeen St Wk Ph: (317)428-6000
Carmel IN 46032 Cell Ph:(317)667-6670
broncosl7@yahoo.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 28.00- 28.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 28.00
Processed on 08/27/13 @ 13:43:36 by BJJ NEW REFUND AMOUNT(-) 28.00
TOTAL REFUNDABLE AMOUNT 28.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 28.00 Made By==> REFUND FINAN With Reference=_> 1081-6-4358400
All refunds re subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
Aut orized nature Date Authorized Signature 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.
Harwood, Tammy Terms
530 Aberdeen St Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8121113 1141078 Refund $ 28.00
I
Total $ 28.00
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
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
Harwood, Tammy Allowed 20
530 Aberdeen St
Carmel, IN 46032
In Sum of$
$ 28.00
ON ACCOUNT OF APPROPRIATION FOR _
108 - ESE
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1081-6 1141078 4358400 $ 28.00 I hereby certify that the attached invoice(s), or
:iill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
5-Sep 2013
Signature
$ 28.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund