HomeMy WebLinkAbout232063 04/30/14 r
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v` CITY OF CARMEL, INDIANA VENDOR: 368167
® it ONE CIVIC SQUARE ZACHARY STOCK CHECK AMOUNT: $`***"`*39.00*
r, CARMEL, INDIANA 46032 4514 CAMBORNE DRIVE CHECK NUMBER: 232063
'+),�roN�. CARMEL IN 46033 CHECK DATE: 04/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1241128 39.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
I - T�T�;� Receipt# 1241128
Carmel 0 'lay I Payment Date: 04/18/14
J APR 2 2 2014 I Household #: 26838
NrksAeereation
=Y:
Monon Community Center Zachary Stock Hm Ph: (317)663-3146
Carmel IN 46032 4514 Camborne Drive
Carmel IN 46033 Cell Ph:
zstock@indy.rr.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
ROSTER CHANGE - Refund Of 39.00
Enrollee Name: Madelyn Stock 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: 02/25/2014 (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 @ 11:56:21 by LVA FEES ADJUSTED ON CHANGED ITEMS(+) 39.00-
NET AMOUNT FROM CHANGED ITEMS 39.00-
TOTAL AMOUNT REFUNDED 39.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 39.00 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
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y
Authorized Si ure ate ! Author' d Si ature ate
Escape Day Passes are non-refundable.
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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.
Stock, Zachary Terms
4514 Camborne Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/18/14 1241128 Refund $ 39.00
Total $ 39.00
I hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
, 20
Clerk-Treasurer
Voucher No. Warrant No.
Stock, Zachary Allowed 20
4514 Camborne Drive
Carmel, IN 46033
In Sum of$
$ 39.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#orBoard Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1096-42 1241128 4358400 $ 39.00 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
$ 39.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund