HomeMy WebLinkAbout235577 08/06/14 q`! � CITY OF CARMEL, INDIANA VENDOR: 368511
j= ONE CIVIC SQUARE ROBIN CONTI CHECK AMOUNT: $********60.00*
+� ,_� CARMEL, INDIANA 46032 14472 SADDLEBACK DRIVE CHECK NUMBER: 235577
°M,��oN.�. CARMEL IN 46032 CHECK DATE: 08/06/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1315639 60.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1315639
Carmel • ' D Payment Date: 07/24/14
Parks&Recreati C:F- Household#: 48135
JUL 2 8 2014
Monon Community Center B Robin Conti Hm Ph:(216)832-8698
Carmel IN 46032 44472 Saddleback Dr.
Carmel IN 46032 Cell Ph:
Phone: (317)848-7275 rconti08@gmaii.com
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 23.00
Enrollee Name: Olivia Conti Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 143008-15 Parent and Child Lev 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 06/17/2014 (Cancelled)
Class Location: Outdoor Aqua Sand PI Class Dates: 07/21/2014 to 07/30/2014
Monon Community Cntr 6:OOP to 6:30P
M,W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Cancel Reason: advanced notice
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 37.00
Processed on 07/24/14 @ 15:35:22 by KTOURNEY FEES CHANGED ON CANCELLED ITEMS(+) 30.00-
SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 7.00-
'NET AMOUNT.F.ROWCANCELLED'ITEMS' :23.00
'HH BALANCE APPLIED TO THIS RECEIPT(+) 37.00-
`'TOTAL AMOUNT`REFUNDED 60:00'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 60.00 Made By=_>REFUND FINAN With Reference=_>
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
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Authorized Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
t0g�00
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.
Conti, Robin Terms
14472 Saddleback Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/14 1315639 Refund $ 60.00
Total $ 60.00
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
Conti, Robin Allowed 20
14472 Saddleback Dr
Carmel, IN 46032
In Sum of$
$ 60.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
I
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1096-10 1315639 4358400 $ 60.00 I hereby certify that the attached invoice(s), or
t ill(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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4-Aug 2014
Signature
$ 60.00 Accounts Payable Coordinator
Cost distribution ledger classification if E Title
claim paid motor vehicle highway fund
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