HomeMy WebLinkAbout234983 07/16/14 voided (9, )
CITY OF CARMEL, INDIANA VENDOR: 368431
ONE CIVIC SQUARE STACY SULLIVAN CHECKAMOUNT: $*******497,00*
CARMEL, INDIANA 46032 331 D PARKVIEW PLACE CHECK NUMBER: 234983
CARMEL IN 46032 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 1299060 497.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1299060
Car ' 6 C Payment Date: 07/09/14
RirIcreation
JUL 10 2014 ! Household#: 43908
13Y:
Monon Community Center Stacy Sullivan Hm Ph: (317)292-7797
Carmel IN 46032 331 D Parkview Place Wk Ph: (317)575-9620
Carmel IN 46032 Cell Ph:(317)292-7797
stacy.sullivan@alz.org
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
ROSTER CHANGE
Enrollee Name: Griffin Weddle Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476003-01 Outdoor Explorers 175.00 0.00 0.00 175.00 0.00
Enrollment-Date: 06/30/2014 (Enrolled)
Class Location: Founders Park Class Dates: 06/02/2014 to 06/06/2014
Founders Park 8:OOA to 5:30P
11675 Hazel Dell Parkway M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
Special Questions: Child's T-Shirt Size?:
Child's Swimming Level?:
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 672.00
Processed on 07/09/14 @ 12:30:13 by BJJ FEES ADJUSTED ON CHANGED ITEMS(+) 175.00
-'NET AMOUNT FROM CHANGED ITEMS 175.00
HH BALANCE APPLIED TO THIS RECEIPT(+) 672.00-
TOTAL AMOUNT REFUNDED 497.00-'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> _ 497.00 Made By=_>REFUND FINAN With Reference=_>
Payment of==> 175.00 Made By=_> Activity Registration Credit Balance
All re fun are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issu�.
A hori ignature Date Authorized Signature Date
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Escape Day Passes are non-refundable. (2wv lib
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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.
Sullivan, Stacy Terms
331D Parkview Place Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/14 1299060 Refund $ 497.00
Total $ 497.00
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.
Sullivan, Stacy Allowed 20
331 D Parkview Place
Carmel, IN 46032 '
In Sum of$
j
$ 497.00
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ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
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PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1082-3 1299060 4358400 $ 497.00 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
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i10-Jul 2014
Signature
$ 497.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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