HomeMy WebLinkAbout234831 7 /16/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: T357021
ONE CIVIC SQUARE JODY DOBSON CHECKAMOUNT: $********98.00*
CARMEL, INDIANA 46032 13768 HICKORY RIDGE CT CHECK NUMBER: 234831
CARMEL IN 46032 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1297762 98.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1297762
Carmel ! Clay j 'R '°;, _y yy "-+, � Payment Date: 07/07/14
Household#: 53482
NrksAecrea�t�on JUL _ Z014
I
Monon Community Center -Jo y Dobson Hm Ph: (317)575-0516
Carmel IN 46032 13768 Hickory Ridge Court
Carmel IN 46032 Cell Ph:
jodydobson@hotmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 98.00
Enrollee Name: Dan Dobson Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 147017-01 Swing 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/20/2014 (Cancelled)
Primary Instructor: Rob Jenkins
Class Location: Dance Studio Class Dates: 07/11/2014 to 08/29/2014
Monon Community Cntr 7:30P to 8:30P
F
Carmel, IN 46032 Scheduled Sessions: 8
(317)848-7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/07/14 @ 08:32:19 by MML FEES CHANGED ON CANCELLED ITEMS(+) 98.00-
NET.AMOUNT.FROM CANCELLED ITEMS - _-_98-0-071
TOTAL.AMOUNC'REFUNDED" - 98:00
NEW NET CREDIT HOUSEHOLD BALANCE 62.00
Refund of=_> 98.00 Made By=_>REFUND FINAN With Reference=_>low enrollment
` AII"refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
4%.
l�Lly
Authorized Signature Date Authorized Signature Date
101(x.S(, 35$��
Escape Day Passes are non-refundable.
T
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.
Dobson, Jody Terms
13768 Hickory Ridge Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/7/14 1297762 Refund $ 98.00
Total $ 98.00
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.
Dobson, Jody Allowed 20
13768 Hickory Ridge Court
Carmel, IN 46032
In Sum of$
$ 98.00
i
ON ACCOUNT OF APPROPRIATION FOR (�
109 -MCC
f
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-50 1297762 4358400 $ 98.00 I 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'
10-Jul 2014
,(/100 Yl'i MIA
Signature
$ 98.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund