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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