HomeMy WebLinkAbout237534 09/23/14 CITY OF CARMEL, INDIANA VENDOR: 368691
J® ONE CIVIC SQUARE MARY SINNOCK CHECK AMOUNT: $********45.00*
CARMEL, INDIANA 46032 1515 E 101ST ST CHECK NUMBER: 237534
INDIANAPOLIS IN 46280 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 45.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1348174
Carnel lw � y Payment Date: 09/18/14
Household#: 15884
Park's&Recreation
Monon Community Center _. -� Mary Sinnock Hm Ph: (317)846-3246
Carmel IN 46032 I � 1515 E 101st Street
I SEP "14 Indianapolis IN 46280 Cell Ph:
Phone: (317)848-7275 l
Fed Tax ID#35-6000972T:
Enrollment Details
CANCELLATION -Refund Of 45.00
Enrollee Name: Mary Sinnock Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 247015-01 Just Dance 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/16/2014 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Multipurpose Room W Class Dates: 09/20/2014 to 10/25/2014
Monon Community Cntr 10:OOA to 11:OOA
Sa
Carmel, IN 46032 Scheduled Sessions: 6
(317)848-7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/18/14 @ 09:15:15 by LVA FEES CHANGED ON CANCELLED ITEMS(+) 45.00-
NET AMOUNT FROM CANCELLED ITEMS 45.00-
"TOTAL AMOUNT REFUNDED 45.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 45.00 Made By=_>REFUND FINAN With Reference=_>low enrollment
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be-
issu
4te LUMAI " ofLAuthorized Sign re Authorized Signature Date
Escape Day Passes are non-refundable.
10q �30
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.
Sinnock, Mary Terms
1515 E 101st Street Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/14 1348174 Refund $ 45.00
Total $ 45.00
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.
Sinnock, Mary Allowed 20
1515 E 101st Street
Indianapolis, IN 46280
In Sum of$
i
$ 45.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1348174 4358400 $ 45.00 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
22-Sep 2014
Signature
$ 45.00 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund