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Home My WebLink About234309 07/01/14 CITY OF CARMEL, INDIANA VENDOR: 368357 d it ONE CIVIC SQUARE SHU-WEN HUANG CHECK AMOUNT: $**.....672.00* CARMEL, INDIANA 46032 1346 HOLDEN CT CHECK NUMBER: 234309 aye ux Eo. CARMEL IN 46032 CHECK DATE: 07/01/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 1286972 672.00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT Receipt# 1286972 ��, Payment Date: 06/25/14 Household #: 55156 larks&Recreation Monon Community Center JUN B 5 2014 Shu-wen Huang Hm Ph: (217)552-9056 Carmel IN 46032 1346 Holden Ct. Carmel IN 46032 Cell Ph:(217)552-9056 -" - swhuang930@gmail.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Enrollment Details CANCELLATION - Refund Of 147.00 Enrollee Name: Vincent Chia Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476009-07 Move to Improve 7.00 000 0.00 7.00 0.00 Enrollment Date: 0111412014 (Cancelled) Class Location: Gymnasium C Class Dates: 07/14/2014 to 07/18/2014 Monon Community Cntr 8:OOA to 5:30P M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7 Cancel Reason: change in plans CANCELLATION - Refund Of 175.00 Enrollee Name: Vincent Chia Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476009-09 Move to Improve 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 01/13/2014 (Cancelled) Class Location: Gymnasium C Class Dates: 07/28/2014 to 08/01/2014 Monon Community Cntr 8:OOA to 5:30P M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Cancel Reason: change in plans CANCELLATION - Refund Of 175.00 Enrollee Name: Jason Chia Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476009-07 Move to Improve 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 01/14/2014 (Cancelled) Class Location: Gymnasium C Class Dates: 07/14/2014 to 07/18/2014 Monon Community Cntr 8:OOA to 5:30P M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Cancel Reason: change in plans CANCELLATION - Refund Of 175.00 Enrollee Name: Jason Chia Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476009-09 Move to Improve 7.00 0,00 0.00 7.00 0.00 Enrollment Date. 01/13/2014 (Cancelled) Page# 1of2 Carmel 0 Clay ACTIVITY REFUND RECEIPT Receipt# 1286972 rs&recreation Payment Date: 06/25/2014 F "L�J Household #: 55156 JUN 2 5 2014 1 .�— -. 07/28/2014 to 08/01/2014 Class Location: Gymnasium C Class-Dates: Monon Community Cntr 8:OOA to 5:30P M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Cancel Reason: change in plans PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 06/25/14 @ 11:01:49 by BJJ FEES CHANGED ON CANCELLED ITEMS(+) 700.00- SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 28.00- 1 NET AMOUNT FROM CANCELLED ITEMS672.00- TOTAL AMOUNT REFUNDED 672.00 - NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 672.00 Made By==>REFUND FINAN With Reference==> All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. A thori Signature Date Authorized Signature Date Escape Day Passes are non-refundable. Page# 2 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. Huang, Shu--wen Terms 1346 Holden Ct Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/25/14 1286972 Refund $ 672.00 Total $ 672.00 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. Huang, Shu-wen Allowed 20 1346 Holden Ct Carmel, IN 46032 In Sum of$ $ 672.00 _ ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#orBoard Members Dept# INVOICE NO. ACCT#/TITL AMOUNT 1082-10 1286972 4358400 $ 672.00 [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 26-Jun 2014 Signature $ 672.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund