HomeMy WebLinkAbout239000 11/11/14 CITY OF CARMEL, INDIANA VENDOR: 368835
ONE CIVIC SQUARE LINDSAY BUCKLEY CHECK AMOUNT: $********46.00*
CARMEL, INDIANA 46032 9112 HADWAY DRIVE CHECK NUMBER: 239000
+MUTON INDIANAPOLIS IN 46256 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1361955 46.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1361955
stall 9 1 Payment Date: 11/04/14
Household#: 46108
Parks&Recreati
NOV 06 2014
Monon Community Center BY: Lindsay Buckley Hm Ph: (317)979-0495
Carmel IN 46032 9112 Hadway Drive Wk Ph: (317)293-3300
Indianapolis IN 46256 Cell Ph:
ki.buckley@yahoo.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 46.00
Enrollee Name: Keith Buckley Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 243103-25 Preschool Level 1 0.0o 0.00 0.00 0.00 0.00
Enrollment Date: 10/10/2014 (Cancelled)
Class Location: Ind Leisure 3 Class Datds: 11/05/2014 to 11/26/2014
Monon Community Cntr •. 6:OOP to 6:54P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 11/04/14 @ 14:00:33 by LWEPRICH FEES CHANGED ON CANCELLED ITEMS(+) 46.00-
NET AMOUNT FROM CANCELLED ITEMS 46.00-
TOTAL AMOUNT REFUNDED "46.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 46.00 Made By=_>REFUND FINAN With Reference==>MwaRE- c d' Slha✓�Ce
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued. -- - -- -
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Authorized Signature Date Authorized Signature Date I
Escape Day Passes are non-refundable. a
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.
Buckley, Lindsay Terms
9112 Hadway Drive Date Due
Indianapolis, IN 46256
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/4/14 1361955 Refund $ 46.00
Total $ 46.00
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
i
Voucher No. Warrant No.
Bucley, Lindsay i Allowed 20
91)2 Hadway Drive
dianapolis, IN 46256
In Sum of$
$ 46.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#ori
Dept
INVOICE NO. ACCT#/TITL AMOUNT I Board Members
Dept# i
1096-10 1361955 4358400 $ 46.00 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
I which charge is made were ordered and
received except
f 6-Nov 2014
Signature
$ 46.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund