HomeMy WebLinkAbout238086 10/15/14 r C,.1q
�' _,,f� CITY OF CARMEL, INDIANA VENDOR: 367750
ONE CIVIC SQUARE KAREN DEBOER CHECK AMOUNT: $********20.00*
?� CARMEL, INDIANA 46032 1030 CHURCHILL COURT CHECK NUMBER: 238086
+M�«Jrf�, INDIANAPOLIS IN 46280 CHECK DATE: 10/15/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1352132 20.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1352132
Carmel e Clair Payment Date: 10/07/14
Household #: 289
marks&Recre�l�llaln
Monon Community Center CFlIVM a Karen DeBoer Hm Ph: (317)575-1993
Carmel IN 46032 OCT o $ 2��4 1030 Churchill.Court Wk Ph: (317)337-3011
Indianapolis IN 46280 Cell Ph.:(317)525-4856
gkdeboer@yahoo.com
Phone: (317)848-7275 BY:
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 20.00
Enrollee Name: Caleb Deboer Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 248001-02 Fantastic Friday 0.00 0.00 0.00 0.00 0.00
-Enrollment Date— --09/06/2014 - (Cancelled)
Class Location: Party Rooms A& B Class Dates: 10/10/2014 to 10/10/2014
Monon,Community Cntr 6:00P to 8:30P
F
Carmel, IN 46032 Scheduled Sessions: 1
(317)848-7275
Cancel Reason: Schedule Conflict. Caleb will be out of town
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/07/14 @ 13:59:11 by MYADON FEES CHANGED ON CANCELLED ITEMS(+) 20.00-
NET.AMOUNT:FROM".CANCELLED;ITEMS r?20:00=::
TOTAG'AMOUNT:REFUNDED .;,:::;.;::- 20:00:;
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 20.00 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 1 t Authorized Signature Date
Escape Day Passes are non-refundable.
f1
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.
DeBoer, Karen Terms
1030 Churchill Court Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/7/14 1352132 Refund $ 20.00
I
Total $ 20.00
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.
DeBoer, Karen Illowed 20
1030 Churchill Court
Indianapolis, IN 46280
In Sum of$
$ 20.00 j
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
i
1096-70 1352132 4358400 $ 20.00 I hereby certify that the attached invoice(s), or
r
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
I
j 10-Oct 2014
Signature
$ 20.00 �,. Accounts Payable Coordinator
Cost distribution ledger classification if `. Title
claim paid motor vehicle highway fund