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HomeMy WebLinkAbout228935 2 /11/2014 CITY OF CARMEL, INDIANA VENDOR: 367939 Page 1 of 1 ONE CIVIC SQUARE AMIE BROWNING CHECK AMOUNT: $30.00 CARMEL, INDIANA 46032 12801 WEST ROAD CARMEL IN 46077 CHECK NUMBER: 228935 CHECK DATE: 2/11/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 30 . 00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt# 1204265 Carmel @ ' Ian' Payment Date: 02/03/14 ParksAecreati®n Household #: 50627 Monon Community Center Amie Browning Hm Ph: (317)317-4907 Carmel IN 46032 12801 West Rd Carmel IN 46077 Cell Ph: amiebrowning@gmail.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Enrollment Details CANCELLATION -Refund Of 15.00 Enrollee Name: Arnie Browning Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 344000-01 Mini-Sprint Triathlo 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 12/01/2013 (Cancelled) Class Location: Fitness Studio A Class Dates: 02/16/2014 to 02/16/2014 Monon Community Cntr 9:OOA to 1:00P Su Carmel, IN 46032 Scheduled Sessions: 1 (317)848-7275 Cancel Reason: Low enrollment CANCELLATION -Refund Of 15.00 Enrollee Name: Christian Browning Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 344000-01 Mini-Sprint Triathlo 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 12/01/2013 (Cancelled) Class Location: Fitness Studio A Class Dates: 02/16/2014 to 02/16/2014 Monon Community Cntr 9:OOA to 1:OOP Su Carmel, IN 46032 Scheduled Sessions: 1 (317)848-7275 cancel Reason: Low enrollment PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 02/03/14 @ 14:34:16 by MEVANS FEES CHANGED ON CANCELLED ITEMS(+) 30.00- GI NET AMOUNT FROM CANCELLED ITEMS 30.00- L— I TOTAL AMOUNT REFUNDED 30.00 J NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 30.00 Made By==>REFUND FINAN With Reference=_> All refunds are subject to State Board of Accounts procedures and may take 4-6_w s to rocess. No cash refunds will be issued. Zyl Authorized Signature Date A o ed S gna re Date Page# 1 of 2 J� 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. Browning, Arnie Terms 12801 West Rd Date Due Carmel, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/3/14 1204265 Refund $ 30.00 Total $ 30.00 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 20_ Clerk-Treasurer Voucher No. Warrant No. Browning, Arnie Allowed 20 12801 West Rd Carmel, IN 46077 in Sum of$ $ 30.00 ON ACCOUNT OF APPROPRIATION FOR 109 -MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-22 1204265 4358400 $ 30.00 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 7-Feb 2014 �JCJ Signature $ 30.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund