HomeMy WebLinkAbout248092 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 369674
® ONE CIVIC SQUARE SCOTT ZABINSKY CHECK AMOUNT: $********45.00*
x: ?� CARMEL, INDIANA 46032 1212 WOLCOTT CT CHECK NUMBER: 248092
°MrON�oWESTFIELD IN 46074 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 1455884 45.00 PARKS DEPARTMENT REFU
• 4 ACTIVITY REFUND RECEIPT
(� Receipt# 1455884
Carmel e Clay Payment Date: 07/15/15
larks&Recreation Household #: 47247
Monon Community Center Scott Zabinsky Hm Ph: (410)299-7059
Carmel IN 46032 1212 Wolcott Ct
Westfield IN 46074 Cell Ph:
scottzabinsky@gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
i
Enrollment Details
CANCELLATION -Refund Of 45.00
Enrollee Name: Scott Zabinsky Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 158041-01 Train for the Tour 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/09/2015 (Cancelled)
Class Location: Monon Trail Class Dates: 07/11/2015 to 08/29/2015
Central Park 10:OOA to 11:OOA
1135 Central Park Drive West Sa
Carmel, IN 46032 Scheduled Sessions: 8
(317)848-7275
Cancel Reason: Low Enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/15/15 @ 15:53:09 by MYADON FEES CHANGED ON CANCELLED ITEMS(+) 45.00-
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 45.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 45.00 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 Signature Date' Authorized Signature Date
l
I—
� CCS
Escape Day Passes� `a(e 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.
Zabinsky, Scott Terms
1212 Wolcott Ct Date Due
Westfield, IN 46074
Invoice Invoice Description i
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/15 1455884 Refund $ 45.00
Total $ 45.00
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
I
Voucher No. Warrant No.
Zabinsky, Scott Allowed 20
1212 Wolcott Ct
Westfield, IN 46074
In Sum of$
$ 45.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 1455884 4358400 $ 45.00 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
$ 45.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund