HomeMy WebLinkAbout247935 07/28/15 Oi"
CITY OF CARMEL, INDIANA VENDOR: 369655
ONE CIVIC SQUARE COLLEEN LAWSON CHECK AMOUNT: $ ..."*22.00'CARMEL, INDIANA 46032 3065 SUGAR MAPLE COURT CHECK NUMBER: 247935
CARMEL IN 46033 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 22.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1454713
Carmel el to Clad/ Payment Date: 07/10/15
J - Household #: 22592
PlarksAecreation
JUL 1 4 2..015
Monon Community Center Colleen Lawson Hm Ph: (317)669-2060
Carmel IN 46032 B�---_-_-_-_-_.--___- 3065 Sugar Maple Court
Carmel IN 46033 Cell Ph:
juvlawson@aol.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 22.00
Enrollee Name: Colleen Lawson Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 154700-03 Intro to Cycle 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/11/2015 (Cancelled)
Class Location: Fitness Studio A Class Dates: 07/11/2015 to 07/25/2015
Monon Community Cntr 9-.30A to 10:15A
Sa
Carmel, IN 46032 Scheduled Sessions: 3
(317)848-7275
Cancel Reason: Low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/10/15 @ 10:54:40 by MEVANS FEES CHANGED ON CANCELLED ITEMS(+) 22.00-
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 22.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 22.00 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
Authorized V ignature Date Authorized Signature Da e
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.
Lawson, Colleen Terms
3065 Sugar Maple Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/10/15 1454713 Refund $ 22.00
Total $ 22.00
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.
Lawson, Colleen Allowed 20
3065 Sugar Maple Court
Carmel, IN 46033
In Sum of$
$ 22.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1096-22 1454713 4358400 $ 22.00 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
July 23, 2015
Signature
$ 22.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund