HomeMy WebLinkAbout239025 11/11/14 y o!.4�A,y
�/ \� CITY OF CARMEL, INDIANA VENDOR: 368836
ONE CIVIC SQUARE KIM FLYNN CHECK AMOUNT: $********46.00*
9� ?� CARMEL, INDIANA 46032 5998 DADO DRIVE CHECK NUMBER: 239025
y'�iroN�° NOBLESVILLE IN 46052 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1352347 46.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1352347
arm' d a � Household#e: 10/08/140
Parks& ecreat«n
Monon CommunityCenter ` C*' r'"'*�
Carmel IN 46032 Kim Flynn Hm Ph: (317)445-6433
NOV 0� 2014 5998 Dado Drive
Noblesville IN 46062 Cell Ph:
vvaltonka78@hotmail.com
Phone: (317)848-7275 BYa
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 46.00
Enrollee Name: Gavin Flynn Y Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 243105-17 Preschool Level 3 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 10/01/2014 (Cancelled)
Class Location: Ind Leisure 5 Class Dates: 10/08/2014 to 10/29/2014
Monon Community Cntr 11:OOA to 11:45A
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Cancel Reason: Low Enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/08/14 @ 11:01:16 by KTOURNEY FEES CHANGED ON CANCELLED ITEMS(+) 46.00-
NET AMOUNT FROM CANCELLED ITEMS 46.00=
TOTAL AMOUNT REFUNDED 46.00
KNEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 46.00 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.
_L4 XDJA
A& oriz d Signatu a Dae Authorized Signature Date
Escape Day Passes are non-refundable.
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.
Flynn, Kim Terms
5998 Dado Drive Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/8/14 1352347 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
Voucher No. Warrant No.
Flynn, Kim Allowed 20
5998 Dado Drive f
Noblesville, IN 46062 i
In Siam of$
$ 46.00
ON ACCOUNT OF APPROPRIATION FOR
,i
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-10 1352347 4358400 $ 46.00 1 hereby certify that the attached invoice(s), or
bills)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
I
i
6-Nov 2014
Signature
I
$ 46.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund