236938 09/10/14 a°yc�gM
CITY OF CARMEL, INDIANA VENDOR: 368626
ONE CIVIC SQUARE CHRISTY MCDANIEL CHECK AMOUNT: $*********6.00*
,q �; CARMEL, INDIANA 46032 6105 PILLORY PLACE CHECK NUMBER: 236938
°j�ir6i+�O' INDIANAPOLIS IN 46254 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1340073 6.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1340073
Carmel i Clay Payment Date: 09/01/14
Household#: 43184
Pa rks Aecrealtl vn
D
r
SEP - 2 2014
Monon Community Center Ci risty McDaniel Hm Ph: (317)293-7481
Carmel IN 46032 ,, 6105 Pillory Place
------lyidianapolis IN 46254 Cell Ph:(317)979-7450
Phone: (317)848-7275 clmcdaniel@earthlink.net
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 6.00
Enrollee Name: Jacob McDaniel 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: 08/18/2014 (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 @ 15:54:11 by MYADON FEES CHANGED ON CANCELLED ITEMS(+) 6.00-
NET.AMOUNT.FROM CANCELLED ITEMS 6.00-
'TOTAL AMOUNT REFUNDED 6.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 6.00 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 Date
Escape Day Passes are non-refundable.
iOqCo7O
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.
McDaniel, Christy Terms
6105 Pillory Place Date Due
Indianapolis, IN 46254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1/14 1340073 Refund $ 6.00
-Total $ 6.00
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.
i
McDaniel, Christy Allowed 20
6105 Pillory Place
Indianapolis,.IN 46254
In Sum of$
$ 6.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MC.0
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 1340073 4358400 $ 6.00 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
i
4-Sep 2014
i.
Signature
$ 6.00 f Accounts Payable Coordinator
Cost distribution ledger classification if' Title
claim paid motor vehicle highway fund
t