HomeMy WebLinkAbout236801 09/10/14 �CAA .
"F. CITY OF CARMEL, INDIANA VENDOR: 368616
® it ONE CIVIC SQUARE LONDA CRANE CHECK AMOUNT: $**......28.00*
:._ _ CARMEL, INDIANA 46032 1049 BRISTOL RD CHECK NUMBER: 236801
'Mrr�� INDIANAPOLIS IN 46280 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1339957 28.00 REFUNDS AWARDS & INDE
- h
ACTIVITY REFUND RECEIPT
Carmel �! ' lay Receipt# 1339957
Payment Date: 09/01/14
Parks&Recreation Household M 8199
Monon Community Center Londa Crane Hm Ph: (317)846-8358
Carmel IN 46032 1049 Bristol Rd. Wk Ph: (317) -
Indianapolis IN 46280 Cell Ph:
ncrane128@sbcglobal.net
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 6.00
Enrollee Name: Elanora Crane Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 148004-12 Adaptive Flowrider 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0410112014 (Cancelled)
Class Location: Flowrider Class Dates: 08/19/2014 to 08/19/2014
MC Outdoor Aquatics 5:30P to 7:OOP
Tu
Carmel, IN 46032 Scheduled Sessions: 1
Cancel Reason: We cancelled because of the weather.
CANCELLATION - Refund Of 6.00
Enrollee Name: Elanora Crane Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 148004-13 Adaptive Flowrider 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/01/2014 (Cancelled)
Class Location: Flowrider Class Dates: 08/26/2014 to 08/26/2014
MC Outdoor Aquatics 5:30P to 7:OOP
Tu
Carmel, IN 46032 Scheduled Sessions: 1
Cancel Reason: We cancelled because of the weather.
CANCELLATION - Refund Of 8.00
Enrollee Name: Londa Crane Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 248019-01 Adaptive Flowrider 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/14/2014 (Cancelled)
Class Location: Flowrider Class Dates: 09/02/2014 to 09/02/2014
MC Outdoor Aquatics 5:30P to 7:OOP
Tu
Carmel, IN 46032 Scheduled Sessions: 1
Cancel Reason: The class was cancelled because of a rental.
CANCELLATION - Refund Of 8.00
Enrollee Name: Londa Crane Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 248019-05 Flow Showcase 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/14/2014 (Cancelled)
Page# 1 of 2
ACTIVITY REFUND RECEIPT
Carmel 10 Cloy Receipt# 1339957
Narks&Recreation Payment Date: 09/01/2014
Household#: 8199
Class Location: Flowrider Class Dates: 09/15/2014 to 09/15/2014
MC Outdoor Aquatics 5:30P to 7:OOP
M
Carmel, IN 46032 Scheduled Sessions: 1
Cancel Reason: Londa didn't need to pay for this event, it is a free event.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/01/14 @ 15:06:29 by MYADON FEES CHANGED ON CANCELLED ITEMS(+) 28.00-
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED-. 28.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 28.00 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.
J . ,meq/ 1 /� �tTv L"� ti
Authorized Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
SEP - 2 2014
Page# 2 of 2
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.
Crane, Londa Terms
1049 Bristol Rd Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1/14 1339957 Refund $ 28.00
Total $ 28.00
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.
Crane, Londa Allowed 20
1049 Bristol Rd
Indianapolis, IN 46280
In Sum of$
$ 28.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 1339957 4358400 $ 28.00 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
4-Sep 2014
Signature
$ 28.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund