HomeMy WebLinkAbout229790 03/11/14 o
CITY OF CARMEL, INDIANA VENDOR: 368032
ONE CIVIC SQUARE CHRISTOPHER HAZEL CHECK AMOUNT: $ ....*148.00*CARMEL, INDIANA 46032 541 ARBOR DRIVE CHECK NUMBER: 229790
CARMEL IN 46032 CHECK DATE: 03/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 148.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Car e l Gley Receipt# 1216970
I� Payment Date: 02/28/14
F rksAeereation
Household #: 14794
Monon Community Center Christopher Hazel Hm Ph: (317)612-1210
Carmel IN 46032 541 Arbor Dr
Carmel IN 46032 Cell Ph:((31)7)3-31-9
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 148.00
Enrollee Name: Christopher Hazel Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 347011-02 Karate 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/16/2014 (Cancelled)
Primary Instructor: Fonseca Martial Arts
Class Location: Multipurpose Room W Class Dates: 03/03/2014 to 04/30/2014
Monon Community Cntr 7:OOP to 8:OOP
M,W
Carmel, IN 46032 Scheduled Sessions: 18
(317)848-7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/28/14 @ 14:46:01 by MML FEES CHANGED ON CANCELLED ITEMS(+) 148.00-
NET AMOUNT FROM CANCELLED ITEMS 148.00-
TOTAL AMOUNT REFUNDED 148.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 148.00 Made By==>REFUND FINAN With Reference==>low enrollment
All refunds are subject to State Board of Accounts procedures and may take we s process. No cash refunds will be
issued.
ized Signature Date ture DateAuthor
lCJ` ' . 4 '3 5�41oc)
Escape Day Passes are non-refundable.
7BY:
R0 3 2014
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.
Hazel, Christopher Terms
541 Arbor Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/28/14 1216970 Refund $ 148.00
Total $ 148.00
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.
Hazel, Christopher Allowed 20
541 Arbor Dr
Carmel, IN 46032
In Sum of$
$ 148.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1216970 4358400 $ 148.00 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-Mar 2014
Signature
$ 148.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund I�
I