HomeMy WebLinkAbout231807 04/23/14 CITY OF CARMEL, INDIANA VENDOR: 368134
ONE CIVIC SQUARE BOB NEW CHECK AMOUNT: $********52.00*
CARMEL, INDIANA 46032 2853 SUMMERFIELD TRAIL CHECK NUMBER: 231807
ayi roN`o, SIDNEY OH 45365 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 52.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1235044
Carmelo lay Payment Date: 04/11/14
F�rksAccrcation Household.#: 39293
Monon Community Center Bob New Hm Ph: (937)492-5962
Carmel IN 46032 2853 Summerfield Trail
Sidney OH 45365 Cell Ph:
bnew@woh.rr.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 52.00
Enrollee Name: Bob New 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: 03/18/2014 (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 @ 14:13:16 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 refund a subjec State Board of Accounts procedures and may to e 4-6 weeks to process. No cash refunds will be
issued.
I
/! q 112J(q
Gg6thorized Signature Da Auth ized ignature Date
Escape Day Passes are non-re undable.
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.
New, Bob Terms
2853 Summerfield Trail Date Due
Sidney, OH 45365
Invoice Invoice Description
Number (or note attached invoice(s) or bill(s)) Amount
Date
4/11/14 1235044 Refund $ 52.00
i
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
Voucher No. Warrant No.
New, Bob Allowed 20
2853 Summerfield Trail
Sidney, OH 45365
In Sum of$
$ 52.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1235044 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