HomeMy WebLinkAbout231746 04/23/14 y �,qMf CITY OF CARMEL, INDIANA VENDOR: 368129
d it ONE CIVIC SQUARE MICHELLE JEFFREYS CHECK AMOUNT: $****...102.00*
r, CARMEL, INDIANA 46032 13309 STAGG HILLS DR CHECK NUMBER: 231746
CARMEL IN 46033 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 102.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1231876
Carmelo Clay Payment Date: 04/02/14
Parks&Recreation Household#: 29687
Monon Community Center Michelle Jeffreys Hm Ph: (317)574-0229
Carmel IN 46032 APR -4 2014 13309 Stagg Hill Dr
Carmel IN 46033 Cell Ph.-(317)489-7845
BY mejeffreys@me.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 38.00
Enrollee Name: Aidan Jeffreys Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 343107-22 Learn to Swim Level 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 03/25/2014 (Cancelled)
I
Class Location: Indoor Lap Pool 6 Class Dates: 04/15/2014 to 04/29/2014
Monon Community Cntr 4:OOP to 4:55P
Tu
Carmel, IN 46032 Scheduled Sessions: 3
(317)848-7275
Cancel Reason: Advanced Notice
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 64.00
Processed on 04/02/14 @ 09:59:23 by KTOURNEY FEES CHANGED ON CANCELLED ITEMS(+) 45.00-
SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 7.00-
NET AMOUNT`FROM.CANCELLED ITEMS 38.00-:
HH BALANCE APPLIED TO THIS RECEIPT(+) 64.00-
1,-TOTAL-,'AMOUNT-REFUNDED i '> 102:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 102.00 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.
1114,
Authorized Signature Date Authorized Signature ate
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.
Jeffreys, Michelle Terms
13309 Stagg Hill Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/14 1231876 Refund $ 102.00
Total $ 102.00
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
Voucher No. Warrant No.
Jeffreys, Michelle Allowed 20
13309 Stagg Hill Dr
Carmel, IN 46033
In Sum of$
$ 102.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-10 1231876 4358400 $ 102.00 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
$ 102.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund