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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