HomeMy WebLinkAbout229660 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: T360410 Page 1 of 1
ONE CIVIC SQUARE JACQUELYNNE SCHLIEPER
CARMEL, INDIANA 46032 585 BORDERWOOD LANE CHECK AMOUNT: $14.00
CARMEL IN 46032 CHECK NUMBER: 229660
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1207921 14 . 00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1207921
Carmel @ Clay Payment Date: 02/13/14
Parks&Recreation Household #: 12923
r� 17 2014
Monon Community Center Jacquely ne Schlieper Hm Ph: (317)810-0016
Carmel IN 46032 rwood Lane Wk Ph: (317)376-0920
Carme 46032 Cell Ph:
jackieo_iam@yahoo.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
ROSTER CHANGE -Refund Of 7.00
Enrollee Name: Julian Schlieper Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 346204-01 Teen Yoga 14.00 0.00 14.00 0.00 0.00
Enrollment Date: 0112812014 (Enrolled)
Primary Instructor: CCPR Staff
Class Location: Fitness Studio B Class Dates: 01/29/2014 to 02/19/2014
Monon Community Cntr 7:OOP to 7:50P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 7.00
Processed on 02/13/14 @ 13:32:51 by LVA FEES ADJUSTED ON CHANGED ITEMS(+) 7.00-
NET AMOUNT FROM CHANGED ITEMS 7.00-
HH BALANCE APPLIED TO THIS RECEIPT(+) 7.00-
TOTAL AMOUNT REFUNDED 14.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 14.00 Made By=_>REFUND FINAN With Reference=_>
All refunds are subject to State Board of Accounts procedures and may a to process. No cash refunds will be
issued.
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Escape Day Passes are non-refundable.
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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.
Schlieper, Jacquelynne Terms
585 Bolderwood Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/13/14 1207921 Refund $ 14.00
'Total $ 14.00
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.
Schlieper, Jacquelynne Allowed 20
585 Boldefwood Lane
Carmel, IN 46032
In Sum of$
$ 14.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 1207921 4358400 $ 14.00 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
Signature
$ 14.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund