HomeMy WebLinkAbout234001 06/25/14 wy.`�"\� CITY OF CARMEL, INDIANA VENDOR: 364417
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ONE CIVIC SQUARE RACHEL DUNCAN CHECK AMOUNT: $*******266.00*
s. ?� CARMEL, INDIANA 46032 11034 PALATKA CT CHECK NUMBER: 234001
a.,;�t:sN�` INDIANAPOLIS IN 46236 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 1281572 266.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1281572
Carmel 9 Clay Payment Date: 06/19/14
Parks&Recreation Household#: 24681
Monon Community Center Rachel Duncan Hm Ph: (317)669-2373
Carmel IN 46032 13129 Foster Court
Carmel IN 46033 Cell Ph:(317)695-4105
7JUN
duncan11034@att.net
Phone: (317)848-7275Fed Tax ID#35-6000972 2 Q 2014
Enrollment Details B':
CANCELLATION -Refund Of 126.00
Enrollee Name: Robert Duncan Fees+Tax Discount Prev Paid Our Paid Amount Due
Activity Number: 476004-05 Chillville 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/02/2014 (Cancelled)
Class Location: Multipurpose Room W Class Dates: 06/30/2014 to 07/03/2014
Monon Community Cntr 8:OOA to 5:30P
M,Tu,W,Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Skip Days 07/04/2013, 07/05/2013
cancel Reason: Parent Wishes to Cancel
CANCELLATION -Refund Of 140.00
Enrollee Name: Joseph Duncan Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476004-05 Chillville 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/02/2014 (Cancelled)
Class Location: Multipurpose Room W Class Dates: 06/30/2014 to 07/03/2014
Monon Community Cntr 8:OOA to 5:30P
M,Tu,W,Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Skip Days 07/04/2013, 07/05/2013
Cancel Reason: arent Wishes to Cancel
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/19/14 @ 09:06:24 by LAA FEES CHANGED ON CANCELLED ITEMS(+) 280.00-
SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 14.00-
F—NET AMOUNT FROM CANCELLED ITEMS 266.007
TOTAL AMOUNT REFUNDED 266.00
NEW NET HOUSEHOLD BALANCE 0.00
Refu =_> 266.00 Made By=_>REFUND FINAN With Reference=_>
Page# 1 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.
Duncan, Rachel Terms
13129 Foster Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/19/14 1281572 Refund $ 266.00
Total $ 266.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
Duncan, Rachel Allowed 20
13129 Foster Court
Carmel, IN 46033
,In Sum of$
$ 266.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
f.
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PO#or INVOICE NO. ACCT#/TITL AMOUNT I Board Members
Dept# '
1082-9 1281572 4358400 $ 266.00 f"l hereby certify that the attached invoice(s), or
i 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
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j 20-Jun 2014
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1S Signature
$ 266.00 Accounts Payable Coordinator
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Cost distribution ledger classification if ; Title
claim paid motor vehicle highway fund
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