HomeMy WebLinkAbout235625 08/06/14 CITY OF CARMEL, INDIANA VENDOR: 368515
ONE CIVIC SQUARE TIM NEFF CHECK AMOUNT: $********59.00*
i° CARMEL, INDIANA 46032 21568 ANCHOR BAY DR CHECK NUMBER: 235625
NOBLESVILLE IN 46062 CHECK DATE: 08/06/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1314994 59.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
t7JUL
TN J�� Receipt# 1314994
Carmel , Ap Payment Date: 07/23/14
ParksA creation4 2014 Household#: 47561
BY:
Monon Community Center Tim Neff Hm Ph: (321)508-6728
Carmel IN 46032 21568 Anchor Bay Dr.
Noblesville IN 46062 Cell Ph:
bbowerslll@aol.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION-Refund Of 59.00
Enrollee Name: Tiffany Neff Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 143015-15 Learn to Swim Level 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/17/2014 (Cancelled)
Class Location: Outdoor Lap Pool 7 Class Dates: 07/21/2014 to 07/24/2014
Monon Community Cntr 8:OOA to 8:55A
M,Tu,W,Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Cancel Reason: Low Enrollment
-PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/23/14 @ 13:23:33 by KTOURNEY FEES CHANGED ON CANCELLED ITEMS(+) 59.00-
NET AMOUNT FROM:CANCELLED.ITEMS 59.00
TOTAL-AMOUNT REFUNDED 59.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 59.00 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.
Authorized Signature Date Authorized Signature Dat
Escape Day Passes are non-refundable.
LPEtOO
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.
Neff, Tim Terms
21568 Anchor Bay Dr. Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/14 1314994 Refund $ 59.00
Total $ 59.00
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.
Neff, Tim Allowed 20
21568 Anchor Bay Dr.
Noblesville, IN 46062
In Sum of$
$ 59.00
ON ACCOUNT OF APPROPRIATION FOR
i
109-MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-10 1314994 4358400 $ 59.00 I 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
l
4-Aug 2014
Signature
$ 59.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund