HomeMy WebLinkAbout242392 02/17/15 r C4A .
CITY OF CARMEL, INDIANA VENDOR: 364546
d ONE CIVIC SQUARE KELLY SHARKEY CHECK AMOUNT: $"*"'*'"15.00"
r CARMEL, INDIANA 46032 43 SHERMAN DRIVE CHECK NUMBER: 242392
CARMEL IN 46032 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1404648 15.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1404648
Carmel Clay Payment Date: 02/11/15
Household #: 19319
F�arks&Recreation .��•�.��,.��
FEB 12 2015
Monon Community Center Kelly Sharkey Hm Ph: (317)674-5650
Carmel IN 46032 $y; 43 Sherman Drive
Carmel IN 46032 Cell Ph:(317)574-2711
Phone: (317)848-7275 the_sharkeys@yahoo.com
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 15.00
Enrollee Name: Michael Sharkey Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 358032-03 Fantastic Friday 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 11/29/2014 (Cancelled)
Class Location: Party Rooms A& B Class Dates: 03/13/2015 to 03/13/2015
Monon Community Cntr 6:OOP to 8:30P
F
Carmel, IN 46032 Scheduled Sessions: 1
(317)848-7275
Cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/11/15 @ 15:07:40 by MYADON FEES CHANGED ON CANCELLED ITEMS(+) 15.00-
NET AMOUNT FROM CANCELLED ITEMS 15.00-
TOTAL AMOUNT REFUNDED 15.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 15.00 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.
( / r
Authorized Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
SON G 7 0
Page# 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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.
Sharkey, Kelly Terms
43 Sherman Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/15 1404648 Refund $ 15.00
Total $ 15.00
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
Voucher No. Warrant No.
Sharkey, Kelly Allowed 20
43 Sherman Drive
Carmel, IN 46032
In Sum of$
$ 15.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
Dept#
1096-70 1404648 4358400 $ 15.00 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
February 12, 2015
Signature
$ 15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund