HomeMy WebLinkAbout248977 08/26/15 iii'CAq'/
;� CITY OF CARMEL, INDIANA VENDOR: 369792
® ONE CIVIC SQUARE MARY JANE PERKINS CHECK AMOUNT: $"'"`"'"'15.00"
,., ? CARMEL, INDIANA 46032 1485 BEACONFIELD COURT CHECK NUMBER: 248977
9M TON�` CARMEL IN 46033 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 15.00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Carmel � Clay Receipt# 1456847
Payment Date: 08/13/15
Parks&recreation Household #: 1209
Monon Community CenterFUG
Mary Jane Perkins Hm Ph: (317)574-1751
Carmel IN 46032 1485 Beaconfield Court Wk Ph: (317)574-1751
015 Carmel IN 46033 Cell Ph:(317)224-6411
perkins.maryjane@yahoo.com
Phone: (317)848-7275
Fed Tax ID#35-6000972 -
Enrollment Details
CANCELLATION - Refund Of 15.00
Enrollee Name: Jay Perkins Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 158034-04 Fantastic Friday 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/24/2015 (Cancelled)
Class Location: Party Room C Class Dates: 08/21/2015 to 08/21/2015
Monon Community Cntr 5:30P 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 08/13/15 @ 16:15:48 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.
Authorized Signature ate Authorized Signature Date
Escape Day Passes are non-refundable. L� Cl
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.
Perkins, Mary Jane Terms
1485 Beaconfield Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/13/15 1456847 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.
Perkins, Mary Jane Allowed 20
1485 Beaconfield Court
Carmel, IN 46033
In Sum of$
$ 15.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1096-70 1456847 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
August 20, 2015
1pkhh*u�
Signature
$ 15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund