HomeMy WebLinkAbout233819 06/18/14 *f CITY OF CARMEL, INDIANA VENDOR: 368326
® ONE CIVIC SQUARE NEXT GEAR CAPITAL CHECK AMOUNT: $**......25.00*
CARMEL, INDIANA 46032 11790 N COLLEGE AVE CHECK NUMBER: 233819
9M�roN EO' INDIANAPOLIS IN 46240 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1259599 25.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1259599
Carmel @lay Payment Date: 05/30/14
Household #: 58913
Monon Community Center ��U 1 2014 NextGear Capita NextGear Capital Hm Ph: (317)571-3811
Carmel IN 46032 11790 N College Ave. Wk Ph: (317) -
BY: Indianapolis IN 46240 Cell Ph:(305)496-4167
---- cquintero@nextgearcapital.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
ROSTER CHANGE - Refund Of 25.00
Enrollee Name: Crystal Quintero Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 147002-01 Coed Sand Volleyball 225.00 0.00 225.00 0.00 0.00
Enrollment Date: 04/22/2014 (Enrolled)
Primary Instructor: CCPR Staff
Class Location: Sand Volleyball Cour Class Dates: 06/09/2014 to 08/18/2014
River Heritage Park 6:OOP to 9:OOP
11813 River Road M
Carmel, IN 46032 Scheduled Sessions: 11
(317)848-7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 05/30/14 @ 10:16:35 by MML FEES ADJUSTED ON CHANGED ITEMS(+) 25.00-
NET AMOUNT FROM CHANGED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 25.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 25.00 Made By=_>REFUND FINAN With Reference=_>early bird discount
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
LWJ-A-��-Fist 1
Authorized Signature Date Authorized Signature Date
Ota. 50. 435ff400
Escape Day Passes are non-refundable.
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.
Next Gear Capital Terms
11790 N College Ave. Date Due
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/14 1259599 Refund $ 25.00
Total $ 25.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Next Gear Capital Allowed 20
11790 N College Ave.
Indianapolis, IN 46240
In Sum of$
$ 25.00
i
ON ACCOUNT OF APPROPRIATION FOR _
109 -MCC
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1096-50 1259599 4358400 $ 25.00 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
13-Jun 2014
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund