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Home My WebLink About240437 12/16/14 +or_C�q� ��/ CITY OF CARMEL, INDIANA VENDOR: 368967 ONE CIVIC SQUARE SCOTT SISON ` CHECKAMOUNT: $********70.00* CARMEL, INDIANA 46032 10758 A RUCKLE STREET H4 CHECK NUMBER: 240437 '��ioN� INDIANAPOLIS IN 46280 CHECK DATE: 12/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 70.00 REFUNDS AWARDS & INDE PASS REFUND RECEIPT Receipt# 1375730 ral0 a Payment Date: 12/11/14 sAecreatuon Household#: 56330 Monon Community Center Scott Sison Hm Ph: (317)569-1332 Carmel IN 46032 DEC 19 2014 10758 A. Ruckle Street#3 Indianapolis IN 46280 Cell Ph: Phone: (317)848-7275 Fed Tax ID#35-6000972 Pass Details CANCELLATION -Refund Of 35.00 Pass Holder: Scott SIson Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC Adlt Mthly(M MCAM),#222152 0.00 0.00 0.00 0.00 0.00 Valid Dates: 10/18/2014 to 10/17/2015 (Pass Cancellation) Cancellation Effective: 12/11/2014 Pass Comments: Thank you for choosing the Monon Community Center(MCC)as your one-stop source for recreation,fitness and fun! Effective January 1, 2015, MCC membership rates will be as follows: -Youth: $25/month -Senior:$25/month -Adult: $38/month -Household: $99/month Also effective January 1, 2015, all MCC memberships will include unlimited group fitness classes in addition to the other onal amentities and services that you expect as a valued member of the MCC. Cancel Reason: Staff Error PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 12111/14 @ 14:55:28 by KLB FEES CHANGED ON CANCELLED ITEMS(+) 35.00- NET AMOUNT-FROM CANCELLED ITEMS 35.00- 'TOTAL AMOUNTAEFUNDED °35x00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 35.00 blade 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. a 111 i Authorized Signature Date AA�hgorize/ignatur, Date Escape Day Passes are non-refundable. 10CM 43S9400 Page# 1 of 1 PASS REFUND RECEIPT Receipt# 1375731 .r 0 Clay Payment Date: 12/11/14 Household#: 38388 EJBY.- # Monon Community Center Scott Sison Hm Ph: (317)569-1332 Carmel IN 46032 10758 A Ruckle Street#4 Indianapolis IN 46280 Cell Ph: Phone: (317)848-7275 Fed Tax ID#35-6000972 Pass Details CANCELLATION -Refund Of 35.00 Pass Holder: Natalie Papenfuse Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC Adlt Mthly(M MCAM),#222138 0.00 0.00 0.00 0.00 0.00 Valid Dates: 10/18/2014 to 10/17/2015 (Pass Cancellation) Cancellation Effective: 12/11/2014 = - Pass Comments: Thank you for choosing the Monon Community Center(MCC)as your one-stop source for recreation,fitness and fun! Effective January 1, 2015, MCC membership rates will be as follows: -Youth: $25/month -Senior: $25/month -Adult: $38/month -Household: $99/month Also effective January 1, 2015, all MCC memberships will include unlimited group fitness classes in addition to the other exceptional amentities and services that you expect as a valued member of the MCC. Cancel Reason: Staff Error 2 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 12/11/14 @ 14:56:18 by KLB FEES CHANGED ON CANCELLED ITEMS(+) 35.00- .NET AMOUNT FROM:CANCELLEDITEMS' 35:00= TOTAL AMOUNT REFUNDED 35.00:. NEW NET HOUSEHOLD BALANCE 0.00 Refund of==> 35.00 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. y 12111 Authorized Signature Date Autho a S' nature Date Escape Day Passes are non-refundable. 10Q'2.'4354400 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. Sison, Scott Terms 10758 A Ruckle Street #4 Date Due Indianapolis, IN 46280 III Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/11/14 1375730 Staff error $ 35.00 12/11/14 1375731 Staff error $ 35.00 Total $ 70.00 r billare true and correct and I have audited same in accordance I hereby certify that the attached invoice(s),o (s)is(are) with IC 5-11-10-1.6 20_, Clerk-Treasurer Voucher No. Warrant No. Sison, Scott Allowed 20 10758 A Ruckle Street #4 Indianapolis, IN 46280 In Sum of$ $ 70.00 ON ACCOUNT OF APPROPRIATION FOR 109 -MCC PO#or INVOICENO. ACCT#/TITLE AMOUNT Board Members Dept# 1092 1375730 4358400 $ 35.00 1 hereby certify that the attached invoice(s), or 1092 1375731 4358400 $ 35.00 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 1 I 15-Dec 2014 Signature $ 70.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund