HomeMy WebLinkAbout225443 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367670 Page 1 of 1
ONE CIVIC SQUARE KATIE LANTERI
CARMEL, INDIANA 46032 10813 BELLEFONTAINE ST CHECK AMOUNT: $108.00
?� INDIANAPOLIS IN 46280
„o CHECK NUMBER: 225443
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 1157293 108 . 00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1157293
Carmel 0 la 'Pr--,- - - � Payment Date: 10/07/13
�° � Household#: 55286
Pa rksAecreatian
OCT 0 7 2013
Morton Community Center BY' Katie Lanteri Hm Ph: (317)918-2632
Carmel IN 46032 10813 Bellefontaine St. Wk Ph: (317)915-2500
Indianapolis IN 46280 Cell Ph:(317)918-2632
kjlanteri @gmail.com
Phone: (317)848-7275
Fed Tax ID #35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 108.00- 108.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 108.00
Processed on 10/07/13 @ 10:20:04 by JAB NEW REFUND AMOUNT(-) 108.00
� �—() U I TOTAL REFUNDABLE AMOUNT 108.00 .
1/ .f —v"VI' Q NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 108.00 Made By==>REFUND FINAN With Reference=_>check refund
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
is e .
0 [ �
Auth ized Signature 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.
Lanteri, Katie Terms
10813 Bellefontaine St Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/7/13 1157293 Refund $ 108.00
I —
Total $ 108.00
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.
Lanteri, Katie Allowed 20
10813 Bellefontaine St
Indianapolis, IN 46280
In Sum of$
$ 108.00
ON ACCOUNT OF APPROPRIATION FOR _
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-6 1157293 4358400 $ 108.00 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
17-Oct 2013
Signature
$ 108.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund