HomeMy WebLinkAbout231573 04/23/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 368124
ONE CIVIC SQUARE SCOTT BADILLO CHECK AMOUNT: S"""'*52.00'
CARMEL, INDIANA 46032 411 S LAFAYETTE CHECK NUMBER: 231573
DEARBORN MI 48124 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 52.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Carmel * Clay Payment
# 1235035
Pa ment Date: 04/11/14
Parks&Recreation Household #: 58413
Monon Community Center Scott Badillo Hm Ph: (734)625-0998
Carmel IN 46032 411 S. Lafayette
Dearborn MI 48124 Cell Ph:
scottbadillo@yahoo.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 52.00
Enrollee Name: Scott Badillo 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 @ 13:59:51 by MML FEES CHANGED ON CANCELLED ITEMS(+) 52.00-
NET AMOUNT FROM CANCELLED ITEMS 52.00-
TOTAL AMOUNT REFUNDED 52.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 52.00 Made By=_>REFUND FINAN With Reference=_>low enrollment
All refunds are subject to State Board of Accounts procedures and may take 4-6 we t process. No cash refunds will be
issued.e1061-1-1,1_1
Authorized Signature date Authori d Sig lure D to
t bq�. 5b ' � �5(006
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.
Badillo, Scott Terms
411 S. Lafayette Date Due
Dearborn, MI 48124
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4111114 1235035 Refund $ 52.00
Total $ 52.00
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
A't�+"a�a^.sae•x aCn" '�4 6*r'�Si^Peans�� __
Voucher No. Warrant No.
Badillo, Scott Allowed 20
411 S. Lafayette
Dearborn, MI 48124
In Sum of$
$ 52.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1235035 4358400 $ 52.00 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
$ 52.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund