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Home My WebLink About224399 09/25/2013 voided CITY OF CARMEL, INDIANA VENDOR: 367622 Page 1 of 1 ONE CIVIC SQUARE GUADALUPE AGUIRRE CHECK AMOUNT: $1,024.40 CARMEL, INDIANA 46032 121 WINONA DR o�zo CARMEL IN 46032 CHECK NUMBER: 224399 CHECK DATE: 9/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 1 1, 024 .40 PARKS DEPARTMENT REFU GLOBAL REFUND RECEIPT Receipt# 1148973 CarmeCarmel 0 Clay Payment Date: 09/13/13 l 7T-\7FD Household #: 42240 P�r�<s�i�ecre�tlon - SEP 13 2013 Monon Community Center BY: Guadalupe Aguirre Hm Ph: (317)698-3333 Carmel IN 46032 121 Winona Dr. Wk Ph: (317)843-1393 Carmel IN 46032 Cell Ph:(317)442-8509 licho-76@hotmaii.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Pass Details CANCELLATION - Refund Of 1,024.40 Pass Holder: Guadalupe Aguirre Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH Annual (M MCHHA), #212775 115.60 0.00 115.60 0.00 0.00 Valid Dates: 08/07/2013 to 08/07/2014 (Pass Cancellation) Cancellation Effective: 09/13/2013 Pass Comments: Children must be age 11 or older to utilize the pools and/or gymnasium unaccompanied by an adult. Children ages 11-13 may use Fitness Center, but must be under adullt supervision. Children must be age 14+to utilize the Fitness Center without adult supervision. Cancel Reason: moving CANCELLATION Pass Holder: Jonathon Hernandez Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH+), #212776 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/07/2013 to 08/07/2014 (Pass Cancellation) Cancellation Effective: 09/13/2013 Cancel Reason: moving CANCELLATION Pass Holder: Jose Luis Rivera Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH+), #212777 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/07/2013 to 08/07/2014 (Pass Cancellation) Cancellation Effective: 09/13/2013 Cancel Reason: moving CANCELLATION Pass Holder: Xlomata abuilera Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH+), #212778 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/07/2013 to 08/07/2014 (Pass Cancellation) Cancellation Effective: 09/13/2013 Cancel Reason: moving CANCELLATION Pass Holder: josua abuilera Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH+),#212779 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/07/2013 to 08/07/2014 (Pass Cancellation) Cancellation Effective: 09/13/2013 Cancel Reason: moving Page# 1 of 2 Carmel ® Clay GLOBAL REFUND RECEIPT Receipt# 1148973 Pc` Fks&Recreatidh Payment Date: 09/13/2013 Household#: 42240 CANCELLATION Pass Holder: rosa Aguirre Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+(M MCHH+), #212780 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/07/2013 to 08/07/2014 (Pass Cancellation) Cancellation Effective: 09/13/2013 Cancel Reason: moving PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 09/13/13 @ 09:10:54 by JWH FEES CHANGED ON CANCELLED ITEMS(+) 1,024.40- 1 NET�AMOUNT:FROM CANCELLED ITEMS- "_1 024:40= TOTAL:AMOUNT REFUNDED;;.. 1'024.40`` NEW NET HOUSEHOLD BALANCE 0.00 Refund of==> 1,024.40 Made By==>REFUND FINAN With Reference =>Moving All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. Authorized Signature Date uthoriz Sig lure ate Escape Day Passes are non-refundable. A � 10,11. x/35_y0' Page# 2 of 2 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. Aguirre, Guadalupe Terms 121 Winona Dr Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/13/13 1148973 Refund $ 1,024.40 Total $ 1,024.40 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 Voucher No. Warrant No. Aguirre, Guadalupe Allowed 20 121 Winona Dr Carmel, IN 46032 In Sum of$ $ 1,024.40 ON ACCOUNT OF APPROPRIATION FOR 109 - MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1092 1148973 4358400 $ 1,024.40 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 19-Sep 2013 P)&n��v Signature $ 1,024.40 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund