HomeMy WebLinkAbout234087 06/25/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 368340
ONE CIVIC SQUARE LAINIE PAUL CHECKAMOUNT: $*******168.00*
CARMEL, INDIANA 46032 2300 GLEBE ST CHECK NUMBER: 234087
CARMEL IN 46032 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 1272063 168.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
�� � � Receipt# 1272063
Carmelv I Payment Date: 06/13/14
Household#: 5410
Parks&R cr l t n JUN 16 2014
B :
Woodbrook Elementary Lainie Paul Hm Ph: (317)514-8132
4311 East 116th Street 2300 Glebe St Wk Ph: (317)339-7952
Carmel IN 46033 Carmel IN 46032 Cell Ph:
lainiepaul@hotmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 168.00
Enrollee Name: Leyton Paul Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476003-03 Outdoor Explorers 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 03/24/2014 (Cancelled)
Class Location: Founders Park Class Dates: 06/16/2014 to 06/20/2014
Founders Park 8:OOA to 5:30P
11675 Hazel Dell Parkway M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
Cancel Reason: 6/8/14 Requested
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/13/14 @ 11:37:05 by NUP FEES CHANGED ON CANCELLED ITEMS(+) 175.00-
SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 7.00-
NET AMOUNT.'FROM
.00-NETAMOUNT'FROM CANCELLED ITEMS 168',00
TOTAL AMOUNT REFUNDED 168.00.
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 168.00 Made By=_>REFUND FINAN With Reference=_>Refund to Credit Car
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
,13^�
uthori Signature Date Authorized Signature Date
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.
Paul, Lainie Terms
2300 Glebe St Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/14 1272063 Refund $ 168.00
Total $ 168.00
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
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
Paul, Lainie All 20
2300 Glebe St
Carmel, IN 46032
In Sum of$
Y
$ 168.00 i
S
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
I
PO#or INVOICE NO. ACCT#/TITLE AMOUNT I Board Members
Dept#
1082-3 1272063 4358400 $ 168.00 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
I
19-Jun 2014
Signature
$ 168.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
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