HomeMy WebLinkAbout231608 04/23/14 Cqq
y CITY OF CARMEL, INDIANA VENDOR: 364730
d l ONE CIVIC SQUARE DARREN CHANG CHECK AMOUNT: $*******104.00*
CARMEL, INDIANA 46032 3932 LONG RIDGE BLVD CHECK NUMBER: 231608
WESTFIELD IN 46074 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 104.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1235037
Carmel » ,lay Payment Date: 04/11/14
J
Darks&Recreatioln Household #: 37705
Monon Community Center Darren Chang Hm Ph: (317)344-2288
Carmel IN 46032 3932 Long Ridge Blvd. Wk Ph: (317) -
Westfield IN 46074 Cell Ph:
changhu@lilly.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 52.00
Enrollee Name: Vincent Chang Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 347005-01 MCC Spring Open 2014 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/28/2014 (Cancelled)
Class Location: Gymnasium A Class Dates: 04/12/2014 to 04/12/2014
Monon Community Cntr 8:OOA to 8:OOP
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848-7275
Cancel Reason: low enrollment
CANCELLATION -Refund Of 52.00
Enrollee Name: Michael Chang Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 347005-01 MCC Spring Open 2014 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/28/2014 (Cancelled)
Class Location: Gymnasium A Class Dates: 04/12/2014 to 04/12/2014
Monon Community Cntr 8:OOA to 8:OOP
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848-7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/11/14 @ 14:02:32 by MML FEES CHANGED ON CANCELLED ITEMS(+) 104.00-
NET AMOUNT FROM CANCELLED ITEMS 104.00-
TOTAL AMOUNT REFUNDED 104.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 104.00 Made By=_>REFUND FINAN With Reference=_>low enrollment
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
Ll 12 Iy
Authorized Signature date uth'r ed Signature ate
Page# 1 of 2
10q�- 50, � 3 5ft 6
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.
Chang, Darren Terms
3932 Long Ridge Blvd Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/11/14 1235037 Refund $ 104.00
Total $ 104.00
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
r
Voucher No. __ Warrant No.
Chang, Darren Allowed 20
3932 Long Ridge Blvd
Westfield, IN 46074
In Sum of$
$ 104.00
ON ACCOUNT OF APPROPRIATION FOR _
109 - MCC
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1096-50 1235037 4358400 $ 104.00 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
17-Apr 2014
Signature
$ 104.00 Accounts Payable Coordinator
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund