HomeMy WebLinkAbout224035 09/10/2013 *f CITY OF CARMEL, INDIANA VENDOR: 367557 Page 1 of 1
ONE CIVIC SQUARE MELINDA MERCERI CHECK AMOUNT: $302.00
CARMEL, INDIANA 46032 14545 DUBLINE DRIVE
CARMEL IN 46033 CHECK NUMBER: 224035
CHECK DATE: 9/1012013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 302 . 00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1141094
a r; e I lay Payment Date: 08/27/13
®Y Household #: 53823
AU:G�2 � 2013
Monon Community Center Melinda Merceri
Carmel IN 46032 BY: 14545 Dublin Drive
Carmel IN 46033 Cell Ph:(240)476-9552
mmerceri@hotmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 302.00- 302.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 302.00
Processed on 08/27/13 Q 14:40:54 by BJJ NEW REFUND AMOUNT(-) 302.00
TOTAL REFUNDABLE AMOUNT 302.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 302.00 Made By==>REFUND FINAN With Reference=_> 1081-2-4358400 (12_wrjr�)
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
A tho Signature Date Authorized Signature Date
Escape Day Passes are non-refundable. jAJ
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.
Merceri, Melinda Terms
14545 Dublin Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/13 1141094 Refund $ 302.00
I
Total $ 302.00
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.
Merceri, Melinda Allowed 20
14545 Dublin Drive
Carmel, IN 46033
In Sum of$
$ 302.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
1081-2 1141094 4358400 $ 302.00 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
5-Sep 2013
Signature
$ 302.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund