HomeMy WebLinkAbout238954 11/05/14 01",
CITY OF CARMEL, INDIANA VENDOR: 368813
ONE CIVIC SQUARE SUZANNE TWIST CHECK AMOUNT: S`******`19.00*
CARMEL, INDIANA 46032 6387 HOLLISTER DR CHECK NUMBER: 238954
STE 105 CHECK DATE: 11/05/14
INDIANAPOLIS IN 46224
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1360683 19.00 REFUNDS AWARDS & INDE
1
ACTIVITY REFUND RECEIPT
Receipt# 1360663
carr,eI lo Clad Payment Date: 10/30/14
Household#: 62103
rksAecreation
Monon Community Center RIF Suzanne Twist
Carmel IN 46032 OCT 3;1 2014 6337 Hollister Dr
Ste 105 Cell Ph:
Indianapolis IN 46224
Phone: (317)848-7275 BY:
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 19.00
Enrollee Name: Suzanne Twist Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 248034-02 Social Etiquette 0.00 0.00 0.00 0.00 0.00
Enrollment-Date: ------10/13/2014 (Cancelled)-
Class Location: Multipurpose Room C Class Dates: 11/04/2014 to 11/18/2014
Monon Community Cntr 7:OOP to 7:45P
Tu
Carmel, IN 46032 Scheduled Sessions: 3
(317)848-7275
Cancel Reason: Staff Error
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/30/14 @ 10:18:51 by JWH FEES CHANGED ON CANCELLED ITEMS(+) 19.00-
NET AMOUNT FROM CANCELLED ITEMS 19.00-
TOTAL AMOUNT REFUNDED- 19.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 19.00 Made By==>REFUND FINAN With Reference=_>Staff Error
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
Leol?,,at t Li
AuttMized Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
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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.
Twist, Suzanne Terms
6387 Hollister Dr., Ste 105 Date Due
Indianapolis, IN 46224
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/30/14 1360683 Refund $ 19.00
Total $ 19.00
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
120—
Clerk-Treasurer
20Clerk-Treasurer
I
Voucher No. Warrant No.
Twist, Suzanne Allowed 20
6387 Hollister Dr., Ste 105
Indianapolis, IN 46224
In Sum of$
$ 19.00
I
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 1360683 4358400 $ 19.00 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
31-Oct 2014
Signature
$ 19.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund