HomeMy WebLinkAbout231808 4 /23/2014 �4q-
`� M° CITY OF CARMEL, INDIANA VENDOR: 367792
�b i? ONE CIVIC SQUARE TAY NGUYEN CHECK AMOUNT: $***.....52.00*
r` CARMEL, INDIANA 46032 8524 DUMFRIES DR CHECK NUMBER: 231808
BROWNSBURG IN 46112 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 52.00 PARKS DEPARTMENT REFU
\`
ACTIVITY REFUND RECEIPT
Receipt# 1235045
Carmel olay Payment Date: 04/11/14
J Household #: 56179
Darks&Recreation
Monon Community Center Tay Nguyen Hm Ph: (317)858-0063
Carmel IN 46032 8524 Dumfries Dr.
Brownsburg IN 46112 Cell Ph:(317)985-7438
taybnguyen@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 52.00
Enrollee Name: Tay Nguyen 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: 03/03/2014 (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 @ 14:14:35 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 refun re s//o ub* t to State Board of Accounts procedures and may tak 4- s process. No cash refunds will be
issue
✓� / / 2 !4
Authorized Signature ate A th r Sign ure 6ate
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.
Nguyen, Tay Terms
8524 Dumfries Dr. Date Due
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/11/14 1235045 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
120
Clerk-Treasurer
Voucher No. Warrant No.
Nguyen, Tay Allowed 20
8524 Dumfries Dr.
Brownsburg, IN 46112
In Sum of$
$ 52.00
ON ACCOUNT OF APPROPRIATION FOR _
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1235045 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