231798 04/23/14 .CAA .
may.. ,,,f CITY OF CARMEL, INDIANA VENDOR: 368132
® ONE CIVIC SQUARE MARK MYERS CHECK AMOUNT: $ ''**'*21.00*
:. ?,; CARMEL, INDIANA 46032 14541 BRACKNEY LANE CHECK NUMBER: 231798
'i„iroN�o; CARMEL IN 46032 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 21.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1231465
Carmel 0 clay Payment Date: 04/01/14
Pa.rksAcc eati(ifl Household #: 56835
Monon Community Center Mark Myers
Carmel IN 46032 14541 Brackney In
Carmel IN 46032 Cell Ph:(317)514-0888
mmyers10@indy.rr.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 21.00
Enrollee Name: Mark Myers Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 347035-01 Arm Chair Naturalist 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/05/2013 (Cancelled)
Class Location: Program Room A Class Dates: 04/03/2014 to 04/17/2014
Monon Community Cntr 1:30P to 2:30P
Th
Carmel, IN 46032 Scheduled Sessions: 3
(317)848-7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/01/14 @ 13:26:35 by MML FEES CHANGED ON CANCELLED ITEMS(+) 21.00-
NET AMOUNT FROM CANCELLED ITEMS 21.00-
TOTAL AMOUNT REFUNDED 21.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 21.00 Made By==>REFUND FINAN With Reference==>low enrollment
All refunds are subject to State Board of Accounts procedures and may take s to process. No cash refunds will be
l issued
11q L{h1i
AuthorizeS Signature Date Au rignature Date
/ay6,�I q 3-5^1M
Escape Day Passes are non-refundable. ED
APR - 3 2014
B'`t':
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.
Myers, Mark Terms
14541 Brackney Ln Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/14 1231465 Refund $ 21.00
Total $ 21.00
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.
Myers, Mark Allowed 20
14541 Brackney Ln
Carmel, IN 46032
In Sum of$
$ 21.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or Board Members
Deptept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-50 1231465 4358400 $ 21.00 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
$ 21.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund