HomeMy WebLinkAbout235152 07/22/14 `%� *p''F. CITY OF CARMEL, INDIANA VENDOR: 367436
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ONE CIVIC SQUARE DAVID MARRONE CHECK AMOUNT: $****""**52.00*
:. ?�; CARMEL, INDIANA 46032 305 W DELAWARE AVE CHECK NUMBER: 235152
.vim, URBANA IL 61801 CHECK DATE: 07/22/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1303292 52.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1303292
Carmel * clav Payment Date: 07/14/14
Household#: 43490
Ptirks'&Recrea ionf
JUL 1 2014
Monon Community Center David Marrone Hm Ph: (217)355-7335
Carmel IN 46032 i, . ,f, 305 W Delaware Ave
Urbana IL 61801 Cell Ph:
marrone@financialsynergy.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 52.00
Enrollee Name: David Marrone Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 147007-01 MCC Summer Open 2014 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/24/2014 (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: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/14/14 @ 07:29:19 by MML FEES CHANGED ON CANCELLED ITEMS(+) 52.00-
NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED `52.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 52.00 Made By=_>REFUND FINAN With Reference=_>low enrollment
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
Authorized ignature Date Authorized Signature Ate
/OQ'�, 56. 4 35 yy6o
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.
Marrone, David Terms
305 W Delaware Ave Date Due
Urbana, IL 61801
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/14/14 1303292 Refund $ 52.00
Total $ 52.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
,20_
Clerk-Treasurer
r
f
Voucher No. Warrant No. j
1
Marrone, David Allowed 20
305 W Delaware Ave
Urbana, IL 61801
In Sum of$
$ 52.00 �.
i
ON ACCOUNT OF APPROPRIATION FOR (;
109 -MCC
I
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1
1096-50 1303292 4358400 $ 52.00 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(
hich charge is made were ordered and
received except
f
f
18-Jul 2014
l
i
Signature
$ 52.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund