HomeMy WebLinkAbout230644 03/26/14 (9-
CITY OF CARMEL, INDIANA VENDOR: T362368
ONE CIVIC SQUARE DICK TRIPPETT CHECK AMOUNT: $***"***150.00*
CARMEL, INDIANA 46032 3845 COVENTRY WAY CHECK NUMBER: 230644
CARMEL IN 46033 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1219272 150.00 PARKS DEPARTMENT REFU
_'F IV ED
MAR 10 2014
ACTIVITY REFUND RECEIPT
Receipt# 1219272CW
-Melo Payment Date: 03/06/14
Household#: 18963
Parks Acre-at on
Monon Community Center Dick Trippett Hm Ph:(317)844-5815
Carmel IN 46032 3845 Coventry Way
Carmel IN 46033 Cel!Ph:
judytrippett@sbcglobal.net
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION-Refund Of 150.00
Enrollee Name: Richard Trippett E1es r Tax Discount Prev Paid CurPaidl AniouUr t Due
Activity Number: 344620-04 Rudy, Set,Golf! 0.00 0.00 0.00 0.00 0.40
Enrollment-Data: 02[06/2014 (Cancelled)
Class Location: Dance Studio Class Dates: 03/06/2014 to 03/27/2014
Monon Community Cntr 12:00P to 1:00P
Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03106114 @ 13:54:30 by MEVANS FEES CHANGED ON CANCELLED ITEMS(1) 150.00-
NET AMOUNT FROM CANCELLED ITEMS 150.00-
TOTAL AMOUNT REFUNDED 150.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of==> 150,00 Made By REFUND FINAN With Reference=_>
All refunds are subject to State Board of Accounts procedures and may tak . w k to process. No cash refunds will be
issued.
Authorized Signature Date Au! ori Sig 8ture ate
Escape Day Passes are non-refundable.
Page 4 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.
Trippett, Dick Terms
3845 Coventry Way Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/14 1219272 Refund $ 150.00
Total $ 150.00
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.
Trippett, Dick Allowed 20
3845 Coventry Way
Carmel, IN 46033
in Sum of$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 1219272 4358400 $ 150.00 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-Mar 2014
J
Signature
$ 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund