HomeMy WebLinkAbout234057 06/25/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 368337
ONE CIVIC SQUARE KATHY LOSING CHECKAMOUNT: $*********6.00*
CARMEL, INDIANA 46032 10400 WHITE OAK DRIVE CHECK NUMBER: 234057
CARMEL IN 46032 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1272075 6.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1272075
Carmel . Cla Payment Date: 06/13/14
J--- -- "�==w Household M 44737
ParksAccreati :nom' "� ; �°��
JuV 1 G 2014
Monon Community Center Kathy Leising Hm Ph: (317)844-5202
Carmel IN 46032 10400 White Oak Drive
Carmel IN 46032 Cell Ph:(317)691-9821
rleising@giesting.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 6.00
Enrollee Name: Taylor Leising Fees+Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 148004-02 Adaptive Flowrider 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/07/2014 (Cancelled)
Class Location: Flowrider Class Dates: 06/10/2014 to 06/10/2014
MC Outdoor Aquatics 7:OOP to 8:30P
Tu
Carmel, IN 46032 Scheduled Sessions: 1
Cancel Reason: We cancelled because of weather
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/13/14 12:32:02 b MYADON FEES CHANGED ON CANCELLED ITEMS + 6.00-
@ Y ( )
NET AMOUNT,FROM CANCELLED'ITEMS,
TOTAL AMOUNT AMOUNT REFUNDED 6.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 6.00 Made By==>REFUND FINAN With Reference=_>Check 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. -- -- - -
4-
Authorized Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
C �0 --� .
I ( � �o (D
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.
Leising, Kathy Terms
10400 White Oak Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/14 1272075 Refund $ 6.00
Total $ 6.00
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
i
1
Voucher No. Warrant No.
Leising, Kathy Allowed 20
10400 White Oak Drive
Carmel, IN 46032
In Sum of$
$ 6.00
i
I.
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
i,
PO#or INVOICE NO. ACCT#ITITLE AMOUNT j Board Members
Dept#
1096-70 1272075 4358400 $ 6.00 I(hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
vyhich charge is made were ordered and
received except
I
�. 19-Jun 2014
Signature
$ 6.00 Accounts Payable Coordinator
Cost distribution ledger classification if �, Title
iclaim paid motor vehicle highway fund
I