HomeMy WebLinkAbout231745 04/23/14 Coq.
''' CITY OF CARMEL, INDIANA VENDOR: 368128
® 1 ONE CIVIC SQUARE FANG-KAI JAO CHECK AMOUNT: $********77.00*
�. =Q CARMEL, INDIANA 46032 1010 W CLARK ST APT 6 CHECK NUMBER: 231745
''c.oN 6�� URBANA IL 61801 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 77.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1235041
Carmelo Clay Payment Date: 04/11/14
P BGs&Reef eatidfl Household #: 33708
Monon Community Center Fang-Kai Jao Hm Ph: (217)898-9654
Carmel IN 46032 1010 W Clark Street, Apt. 6
Urbana IL 61801 Cell Ph:
kylejao@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 77.00
Enrollee Name: Fang-Kai Jao 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 @ 14:09:11 by MML FEES CHANGED ON CANCELLED ITEMS(+) 77.00-
NET AMOUNT FROM CANCELLED ITEMS 77.00-
TOTAL AMOUNT REFUNDED 77.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 77.00 Made By==>REFUND FINAN With Reference==>low enrollment
All refunds are subjec to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
// / lhq
12
Authorized Signature ateut ri ed Signature Date
1616 5b . '�3�`�`��?
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.
Jao, Fang-Kai Terms
1010 W Clark Street, Apt. 6 Date Due
Urbana, IL 61801
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/11/14 1235041 Refund $ 77.00
Total $ 77.00
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.
Jao, Fang-Kai Allowed 20
1010 W Clark Street, Apt. 6
Urbana, IL 61801
In Sum of$
$ 77.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICENO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1235041 4358400 $ 77.00 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
it
17-Apr 2014
ZP�
Signature
$ 77.00 Accounts Payable Coordinator
Cost distribution ledger classification if i Title
claim paid motor vehicle highway fund