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Home My WebLink About238670 10/28/14 CITY OF CARMEL, INDIANA VENDOR: 368804 ONE CIVIC SQUARE NADINE POWELL CHECK AMOUNT: $*******133.00* ?� CARMEL, INDIANA 46032 14209 AUTUMN WOODS DRIVE CHECK NUMBER: 238670 CARMEL IN 46074 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 1358824 70.00 REFUNDS AWARDS & INDE 1096 4358400 1359213 63.00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT Receipt# 1358824 Carmel a C1?y Payment Date: 10/20/14 Jr Household #: 58308 Pa:rks&Recreafton FF1 EDMonon Community Center 2014 Nadine Powell Hm Ph: (812)201-8896 Carmel IN 46032 14209 Autumn Woods Drive . Carmel IN 46074 Cell Ph: 66 nkpoweII08@gmail.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Refund Details Ono Bal Refund New Bal Module: Activity Registration 70.00- 70.00 0.00 PREVIOUS NET HOUSEHOLD BALANCE 70.00 Processed on 10/20/14 @ 11:28:04 by LVA NEW REFUND AMOUNT(-) 70.00 OTAL:REF.0 N DABL-E:'AM O U NT:I:>>i';t:;:;<::;;:;:_ NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 70.00 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 issue 0/;�o Authorized Signature Datd Authorized Signature Date Escape Day Passes are non-refundable. �,o s low er\r0 �- Page# 1 of 1 4` ACTIVITY REFUND RECEIPT Receipt# 1359213 Carmel * '? Payment Date: 10/22/14 Parks&R.ecreation Household#: 58308 Monon Community Center Jadine Powell Hm Ph:(812)201-8896 Carmel IN 46032 OCT 2 3 2014 4209 Autumn Woods Drive armel IN 46074 Cell Ph: Phone: (317)848-7275 BY: kpoweII08@gmail.com Fed Tax ID#35-6000972 Enrollment Details CANCELLATION -Refund Of 63.00 Enrollee Name: Grady Powell Fees+Tax Discount _Prey Paid Cur Paid Amount Due Activity Number: 245110-03 Home,Sweet Home 7.00 0.00 0.00 7.00 0.00 Enrollment Date: -08/11/2014 (Cancelled) -- — - - Class Location: Meeting Room Class Dates: 11/07/2014 to 12/05/2014 Monon Community Cntr 11:30A to 12:15P F Carmel, IN 46032 Scheduled Sessions: 4 (317)848-7275 Skip Days 11/28/2014 Cancel Reason: advanced request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 10/22/14 @ 13:56:32 by JWH FEES CHANGED ON CANCELLED ITEMS(+) 70.00- SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 7.00- -NET AMOUNT`.FROKCANCELLEE)ITEMS 63.00- `TOTAL AMOUNT REFUNDED.', NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 63.00 -Made By=_>REFUND FINAN With Reference=_>Advanced Request _ All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. RVUiR 0I,Wa11i R orized Signature Date Authorized Signature Date Escape Day Passes are non-refundable. 109 -3-� v3.51"Co L, 9 rr rr d•'Y Pfe�-1 [o Ca in 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. Powell, Nadine Terms 14209 Autumn Woods Drive Date Due Carmel, IN 46074 . Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/20/14 1358824 Refund $ 70.00 10/22/1.4 1359213 _ . Refund _ $ _ __ __ ___63.00 _ II . Total $ 133.00 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with I C 5-11-10-1.6 20_ Clerk-Treasurer I Voucher No. Warrant No. Powell, Nadine Allowed 20 14209 Autumn Woods Drive Carmel, IN 46074 SII In Sum of$ $ 133.00 ON ACCOUNT OF APPROPRIATION FOR - h 109 -MCC PO#or Board Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT ,! 1096-32 1358824 4358400 . $ 70.00 �, I hereby certify that the attached invoice(s), or 1096-32 1359213 4358400 $ 63.00 �', bill(s)is(are)true and correct and that the I materials or services itemized thereon for which charge is made were ordered and i received except 23-Oct 2014 IYh �tiy� Signature $ 133.00 Accounts Payable Coordinator Cost distribution ledger classification if I Title claim paid motor vehicle highway fund I ! i i