HomeMy WebLinkAbout229422 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 367961 Page 1 of 1
ONE CIVIC SQUARE LURHE CASTETTER� CHECK AMOUNT: $235.00 t� CARMEL, INDIANA 46032 15479 HIDDEN OAKS LANE
CARMEL IN 46033 CHECK NUMBER: 229422
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 235 . 00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1208359
C'arme l o Clay Payment Date: 02/13/14
rks&kecreation Household #: 57276
Monon Community Center LuRhe Castetter Hm Ph: (847)431-4244
Carmel IN 46032 15479 Hidden Oaks Lane
Carmel In 46033 Cell Ph:
haleycastetter79@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 235.00
Enrollee Name: Haley CBstetter Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 343023-02 Lifeguard Class 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/10/2014 (Cancelled)
Class Location: Art Studio Class Dates: 02/15/2014 to 02/23/2014
Monon Community Cntr 9:00A to 6:00P
Su,Sa
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Cancel Reason: Advanced Notice
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/13/14 @ 13:39:14 by KTOURNEY FEES CHANGED ON CANCELLED ITEMS(+) 235.00-
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 235.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 235.00 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
issued.
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Authorized Signature Date Authorized Signature Date
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Escape Day Passes are non-refundable.
RE' C F T'N.7 1.
FEB 17 2014
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Page# 1 of 1
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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.
Castetter, LuRhe Terms
15479 Hidden Oaks Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
2/13/14 1208359 Refund $ 235.00
'Total $ 235.00
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.
Castetter, LuRhe Allowed 20
15479 Hidden Oaks Lane
Carmel, IN 46033
In Sum of$
$ 235.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO
#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1096-10 1208359 4358400 $ 235.00 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
20-Feb 2014
pxlh�
Signature
$ 235.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund