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Home My WebLink About232005 04/30/14 v'" CITY OF CARMEL, INDIANA VENDOR: 368164 ® it ONE CIVIC SQUARE RHONDA FRANK CHECK AMOUNT: $********78.00* r4 CARMEL, INDIANA 46032 10385 ORCHARD PARK SOUTH DRIVE CHECK NUMBER: 232005 'M,�ioN�b� INDIANAPOLIS IN 46280 CHECK DATE: 04/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 1241127 78.00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT Carmel Clay Receipt# 1241127 � Payment Date: 04/18/14 Nirks&Recreation7AP ��7 � Household #: 50970 2 2014 Monon Community Center BY: honda Frank Hm Ph: (317)571-0998 Carmel IN 46032 385 Orcharc Park South Drive Wk Ph: (317)370-2844 Indianapolis IN 46280 Cell Ph:(317)370-2844 f-frank@sbcglobal.net Phone: (317)848-7275 Fed Tax ID#35-6000972 Enrollment Details ROSTER CHANGE - Refund Of 39.00 Enrollee Name: Kayleigh Goens Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 346133-01 Pottery Around the W 39.00 0.00 39.00 0.00 0.00 Enrollment Date: 02/07/2014 (Enrolled) Primary Instructor: Jeremy South Class Location: Art Studio Class Dates: 03/19/2014 to 04/02/2014 Monon Community Cntr 6:OOP to 7:30P W Carmel, IN 46032 Scheduled Sessions: 3 (317)848-7275 ROSTER CHANGE - Refund Of 39.00 Enrollee Name: Dustin Catron Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 346133-01 Pottery Around the W 39.00 0.00 39.00 0.00 0.00 Enrollment Date: 02/07/2014 (Enrolled) Primary Instructor: Jeremy South Class Location: Art Studio Class Dates: 03/19/2014 to 04/02/2014 Monon Community Cntr 6:OOP to 7:30P W Carmel, IN 46032 Scheduled Sessions: 3 (317)848-7275 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 04/18/14 @ 11:53:06 by LVA FEES ADJUSTED ON CHANGED ITEMS(+) 78.00- 1 NET AMOUNT FROM CHANGED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 78.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 78.00 Made By==>REFUND FINAN With Reference==>prorated refund All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issu 1� 4 21 N Authorized4SgurXe2�� ate (glLt' utl oriz Signature Date For041cok Page# 1 of 2 ACTIVITY REFUND RECEIPT Carmel I IJ Receipt# 1241127 Parks&recreation Payment Date: 04/18/2014 Household #: 50970 Escape Day Passes are non-refundable. Page# 2 of 2 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. Frank, Rhonda Terms 10385 Orchard Park South Drive Date Due Indianapolis, IN 46280 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/18/14 1241127 Refund $ 78.00 a Total $ 78.00 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. Frank, Rhonda Allowed 20 10385 Orchard Park South Drive Indianapolis, IN 46280 In Sum of$ $ 78.00 ON ACCOUNT OF APPROPRIATION FOR 109 - MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1241127 4358400 $ 78.00 1 hereby certify that the attached invoice(s), or (09 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 25-Apr 2014 Signature $ 78.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund