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Home My WebLink About236920 09/10/14 �,q+, CITY OF CARMEL, INDIANA VENDOR: 368337 `� ® �., CHECKAMOUNT: $********12.00* ONE CIVIC SQUARE KATHY LOSING s.. �� CARMEL, INDIANA 46032 10400 WHITE OAK DRIVE CHECK NUMBER: 236920 9M,7�os"�O/` CARMEL IN 46032 CHECK DATE: 09/10/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 1339994 12.00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT Receipt# 1339994 Carmel 4,. Iny Payment Date: 09/01/14 Household#: 44737 ParksAecreation - Monon Community Center SEP 2 2014 (Kathy Leising Hm Ph: (317)844-5202 Carmel IN 46032 110400 White Oak Drive �JCarmel IN 46032 Cell Ph:(317)691-9821 rleising@giesting.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Enrollment Details CANCELLATION -Refund Of 6.00 Enrollee Name: Taylor Leising 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: 05/16/2014 (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 weather CANCELLATION -Refund Of 6.00 Enrollee Name: Taylor Leising 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: 05/16/2014 (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 weather _ PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 09/01/14 @ 15:20:44 by MYADON FEES CHANGED ON CANCELLED ITEMS(+) 12.00- NET AMOUNT'FROM<CANCELLED ITEMS' `. 12.00- -TOTAL AMOUNT REFUNDED—: 12.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 12.00 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. fl vt au,�,Vt a l,�tn .t t.e� 2,114 Authorized Signature Date Authorized Signature Date 1Jq Page# 1 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. Leising, Kathy Terms 10400 White Oak Drive Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/1/14 1339994 Refund $ 12.00 '_Total $ 12.00 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 _, 20 Clerk-Treasurer Voucher No. Warrant No. i Leising, Kathy Allowed 20 10400 White Oak Drive Carmel, IN 46032 In Sum of$ $ 12.00 ON ACCOUNT OF APPROPRIATION FOR 109 MCC j i PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1096-70 1339994 -44358400 $ 12.00 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-Sep 2014 , i. f Signature $ 12.00~ I' Accounts Payable Coordinator Cost.distribution ledger classification if ! Title t claimpaid motor vehicle highway fund