HomeMy WebLinkAbout246933 06/30/15 0a^..` F, CITY OF CARMEL, INDIANA VENDOR: 369522
d ONE CIVIC SQUARE JOYCE PETERSON CHECK AMOUNT: $********69.00*
a° CARMEL, INDIANA 46032 11233 GARRICK ST CHECK NUMBER: 246933
.y,�roN Eo, FISHERS IN 46038 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1452957 69.00 REFUNDS AWARDS & INDE
v ACTIVITY REFUND RECEIPT
Receipt# 1452957
Car: el is Clad Payment Date: 06/15/15
ParksAecreation Household #: 31195
Monon Community Center Joyce Peterson Hm Ph: (317)841-1397
Carmel IN 46032 JUN 1 7 2015 11233 Garrick St
Fishers IN 46038 Cell Ph:
Phone: (317)848-7275 BY:
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 69.00
Enrollee Name: Joyce Peterson Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 1 57 01 3-01 Adult Tap 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/17/2015 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location: Dance Studio B Class Dates: 06/17/2015 to 07/29/2015
Monon Community Cntr 7:45P to 8:30P
W
Carmel, IN 46032 Scheduled Sessions: 7
(317)848-7275
Cancel Reason: Low Enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/15/15 @ 11:32:36 by AJACKSON FEES CHANGED ON CANCELLED ITEMS(+) 69.00-
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 69.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 69.00 Made By==>REFUND FINAN With Reference==>Paid by check#13014
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issu01 "
e .
A/y(horized Signature Date Authorized Signature Wate
Escape Day Passes are non-refundable. l0q � LA —1
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.
Peterson, Joyce Terms
11233 Garrick St Date Due
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
45
6/15/15 12957 Refund $ 69.00
Total $ 69.00
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.
Peterson, Joyce Allowed 20
11233 Garrick St
Fishers, IN 46038
In Sum of$
$ 69.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1096-50 1452957 4358400 $ 69.00 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
June 25, 2015
Signature
$ 69.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund