HomeMy WebLinkAbout234901 07/16/14 0`y����p''* CITY OF CARMEL, INDIANA VENDOR: 368433
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ONE CIVIC SQUARE JILL KOLP CHECK AMOUNT: $*******168.00*
CARMEL, INDIANA 46032 13197 FROGMORE ST CHECK NUMBER: 234901
'M��oi- CARMEL IN 46032 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 168.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1298210
Carmel v ClaPayment Date: 07/08/14
Household#: 54119
Parks&Recreation
Monon Community Center Jill Kolp Hm Ph: (847)226-2993
Carmel IN 46032or
JUL - 2014 2 Cell Ph:(847)226-2993
dakolps@gmail.com
Phone: 317 848-7275
c ) .__.____..__ mf AAress, 13197 F rnoe S#-
Fed Tax ID#35-6000972 --- —_—
C"/1 / 1X/
Enrollment Details
CANCELLATION -Refund Of 168.00
Enrollee Name: Benjamin KOIp Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476009-08 Move to Improve 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 03/25/2014 (Cancelled)
Class Location: Gymnasium C Class Dates: 07/21/2014 to 07/25/2014
Monon Community Cntr 8:OOA to 5:30P
M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
t8--r275-
Cancel
8=7275Cancel Reason: not a good fit
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/08/14 @ 13:05:37 by JAB FEES CHANGED ON CANCELLED ITEMS(+) 175.00-
SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 7.00-
NET AMOUNT 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 Referen a=_>82-10-4358400 refund
A funds are subject to State Board of Accounts procedures anaq take 44-6-w o process. No cash -refunds will be
Issued.
I
Au rized Si nature Date Authorized Signature Date
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.
Kolp, Jill Terms
13197 Frogmore Street Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/8/14 1298210 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
'120
Clerk-Treasurer
Voucher No. Warrant No.
Kolp,Jill i Allowed 20
13197 Frogmore Street
Carmel, IN 46032
In Sum of$
$ 168.00 j
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT �, Board Members
Dept#
I
1082-10 1298210 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
10-Jul 2014
i
YYL.i�1.p.Ji:..
Signature
$ 168.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund