HomeMy WebLinkAbout230671 03/26/14 CITY OF CARMEL, INDIANA VENDOR: 368085
® ONE CIVIC SQUARE AMY WHITSEL CHECK AMOUNT: $**.....168.00*
CARMEL, INDIANA 46032 4843 WATERSTONE WAY CHECK NUMBER: 230671
CARMEL IN 46033 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 1220596 168.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1220596
ar Clay Payment Date: 03/10/14
Household #: 52328
9lrsAeraion
Monon Community Center Amy Whitsel Hm Ph: (317)703-0880
Carmel IN 46032 4843 Waterstone Way
Carmel IN 46033 Cell Ph:
a.whitsel@att.net
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 168.00
Enrollee Name: Jonas Whitsel Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001-06 Play On 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/29/2014 (Cancelled)
Class Location: Clay Middle School Class Dates: 07/07/2014 to 07/11/2014
Clay Middle School 7:OOA to 6:OOP
5150 East 126th Street M,Tu,W,Th,F
Carmel, IN 46033 Scheduled Sessions: 5
(317)848-7275
Cancel Reason: change in plans
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/10/14 @ 11:32:20 by BJJ FEES CHANGED ON CANCELLED ITEMS(+) 175.00-
SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 7.00-
NET-AMOUNTIFROM'CANCELLED ITE_MSw x;','168:00
=TOTAL:pAMOUNT REFUNDED__. -' 168:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 168.00 Made By=_>REFUND FINAN With Reference=_>
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
`Jv
utho d Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
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.
Whitsel, Amy Terms
4843 Waterstone Way Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/10/14 1220596 Refund $ 168.00
Total $ 168.00
1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and 1 have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
Voucher No. Warrant No.
Whitsel, Amy Allowed 20
4843 Waterstone Way
Carmel, IN 46033
In Sum of$
4.
$ 168.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-11 1220596 4358400 $ 168.00 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
Signature
$ 168.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I