HomeMy WebLinkAbout232027 04/30/14 �,q,�. CITY OF CARMEL, INDIANA VENDOR: 363929
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® it ONE CIVIC SQUARE RHONDA KUCHIK CHECK AMOUNT: $**...****7.00*
i� a° CARMEL, INDIANA 46032 12411 BAYHILL DRIVE CHECK NUMBER: 232027
9�''�roN E°' CARMEL IN 46033 CHECK DATE: 04/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1242052 7.00 REFUNDS AWARDS & INDE
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ACTIVITY REFUND RECEIPT
Receipt# 1242052
Carmel o layPayment Date: 04/23/14
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Household #: 3108
Barks&Recreation
" APP 2 3 2014
Monon Community Center t.. Rhnda Kuchik Hm Ph: (317)846-6411
Carmel IN 46032 �11 Bayhill Drive Wk Ph: (317) -
Carmel IN 46033 Cell Ph:(317)507-1053
Phone: (317)848-7275 rhondakuchik@gmail.com
Fed Tax ID#35-6000972
Enrollment Details
ROSTER CHANGE -Refund Of 7.00
Enrollee Name: Kylie Kuchik Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 346204-03 Teen Yoga 21.00 0.00 21.00 0.00 0.00
Enrollment Date: 03/24/2014 (Enrolled)
Primary Instructor: CCPR Staff
Class Location: Fitness Studio B Class Dates: 03/24/2014 to 04/21/2014
Monon Community Cntr 5:OOP to 5:50P
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Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Skip Days 04/07/2014
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/23/14 @ 07:45:32 by LVA FEES ADJUSTED ON CHANGED ITEMS(+) 7.00-
NET AMOUNT FROM CHANGED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 7.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 7.00 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
issued.
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Authorized Signatr D to I "'Authorized Signature bate
Escape Day Passes are non-refundable.
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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.
Kuchik, Rhonda Terms
12411 Bayhill Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/23/14 1242052 Refund $ 7.00
Total $ 7.00
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
s
Voucher No. Warrant No.
Kuchik, Rhonda Allowed 20
12411 Bayhill Drive
Carmel, IN 46033
In Sum of$
$ 7.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
Po#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1096-42 1242052 4358400 $ 7.00 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
25-Apr 2014
Signature
$ 7.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund