HomeMy WebLinkAbout234584 07/08/14 a CITY OF CARMEL, INDIANA VENDOR: 367792
(� it ONE CIVIC SQUARE TAY NGUYEN CHECK AMOUNT: $ ....."45.00'
CARMEL, INDIANA 46032 8524 DUMFRIES DR CHECK NUMBER: 234584
BROWNSBURG IN 46112 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1287588 45.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1287588
arme;] 9 lay Payment Date: 06/25/14
Parks&Recreation
Household#: 56179
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JUN 3 0 2014
Monon Community Center Tay Nguyen Hm Ph: (317)858-0063
Carmel IN 46032 BY:-- 8524 Dumfries Dr.
Brownsburg IN 46112 Cell Ph:(317)985-7438
taybnguyen@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 45.00
Enrollee Name: Tay Nguyen Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 147007-01 MCC Summer Open 2014 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/15/2014 (Cancelled)
Class Location: Gymnasium A Class Dates: 07/19/2014 to 07/19/2014
Monon Community Cntr 8:OOA to 8:OOP
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848-7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/25/14 @ 16:03:39 by MML FEES CHANGED ON CANCELLED ITEMS(+) 52.00-
SURCHARGE APPLIED AGAINST CANCELLED FEES() 7.00-
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 45.00
NEW NET HOUSEHOLD BALANCE 0.00
I
Refund of=_> 45.00 Made By==>REFUND FINAN With Reference=_>advanced request
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
Authorized Signature Date Authorized Signature Dat
D96. so. 435elq00
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.
Nguyen, Tay Terms
8524 Dumfries Dr Date Due
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/14 1287588 Refund $ 45.00
Total $ 45.00
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.
Nguyen, Tay Allowed 20
8524 Dumfries Dr
Brownsburg, IN 46112
In Sum of$
$ 45.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or Board Members
Dept# INVOICE NO. ACCT#/TlTLE AMOUNT
1096-50 1287588 4358400 $ 45.00 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
3-Jul 2014
JVJ�
Signature
$ 45.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund