HomeMy WebLinkAbout231710 4 /23/2014 CITY OF CARMEL, INDIANA VENDOR: 368127
® i ONE CIVIC SQUARE KRISTINA HOLDEN CHECK AMOUNT: $**......15.00*
s. ? CARMEL, INDIANA 46032 4565 GREENTHREAD COURT CHECK NUMBER: 231710
ZIONSVILLE IN 46077 CHECK DATE: 04/23/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 15.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1232027
Carmel a Clay Payment Date: 04/02/14
Parks&kecreation Household#: 43361
Monon Community Center Kristina Holden Hm Ph: (317)769-4442
Carmel IN 46032 APR - 4 2014 4565 Greenthread Ct.
Zionsville IN 46077 Cell Ph:
kristinaholden@hotmail.com
Phone: (317)848-7275 $Y: _ _
Fed Tax ID#35-6000972
Enrollment Details
ROSTER CHANGE-Refund Of 7.50
Enrollee Name: dane Holden Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 343102-10 Parent and Child Lev 22.50 0.00 22.50 0.00 0.00
Enrollment Date: 01/27/2014 (Enrolled)
Class Location: Ind Lesiurel Class Dates: 03/03/2014 to 03/24/2014
Monon Community Cntr 6:OOP to 6:30P
M
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
ROSTER CHANGE-Refund Of 7.50
Enrollee Name: kaitlyn Holden Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 343102-10 Parent and Child Lev 22.50 0.00 22.50 0.00 0.00
Enrollment Date: 01/27/2014 (Enrolled)
Class Location: Ind Lesiure 2 Class Dates: 03/03/2014 to 03/24/2014
Monon Community Cntr 6:OOP to 6:30P
M
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/02/14 @ 16:26:56 by KTOURNEY FEES ADJUSTED ON CHANGED ITEMS(+) 15.00-
NET;AMOUNT'F,ROMt:CHANGED'ITEMS•: 15:00.
:,TOTALAMOUNT;REFUNDED"=.<F,:.;_;':.:";_:F.-"l',;.'l. 15:00 w
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 15.00 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.
4dhorized Signature Date Authorized Signature ate
Escape Day Passes are non-refundable.
Page# 1 of 1
� DC-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.
Holden, Kristina Terms
4565 Greenthread Ct Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
412114 1232027 Refund $ 15.00
Total $ 15.00
I 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.
Holden, Kristina Allowed 20
4565 Greenthread Ct
Zionsville, IN 46077
In Sum of$
$ 15.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-10 1232027 4358400 $ 15.00 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
$ 15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund