HomeMy WebLinkAbout248858 08/26/15 CITY OF CARMEL, INDIANA VENDOR: 369774
d i ONE CIVIC SQUARE CORINNE HEPLER CHECK AMOUNT: $*****2,038.00*
CARMEL, INDIANA 46032 1725 E 110TH ST CHECK NUMBER: 248858
INDIANAPOLIS IN 46280 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000027003 40.00 REFUNDS AWARDS & INDE
1081 4358400 200026003 1,998.00 REFUNDS AWARDS & INDE
Receipt 42000026.003 Page I of 2
Monon Community Center East Voucher #2000026.003
Building Aug 14, 2015 1:29 PM
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (314) 848-7275 Alp�
FAX: -- k.'aFmel @Clay
Email: info@carmelclayparks.com Parks& Recreation
CORINNE HEPLER NATIONAI' GOLD MEDAL "YVINNER
1725 E 110TH ST AND ACCREDiTED AGENCY
INDIANAPOLIS, IN 46280
Prepared By: bennyj
Customer ID: 24708
Primary phone: (317) 919-3838, Secondary phone: (317) 919-3838
Refund Summary
Check: ($1,998.00) Check #
Total Received: ($1,998.00) Total Refund: ($1,998.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Carter Montieth Forest Dale After-School (Monthly): Sep 1, ESE Each 1.00 $222.00 ($222.00)
1725 E 110th St 2015- Sep 30, 2015 #5720 Enrollment
Indianapolis,IN 46280 Action: Extended SchooEnrichment RexReci Fees
Primary phone: (317)919- Re?urio (Monthly)
3838
Email
corinnehepler(a)gmail,com
ID:24711
Carter Montieth Forest Dale After-School (Monthly): Oct 1, ESE Each 1.00 $222.00 ($222.00)
1725 E 110th St 2015- Oct 31, 2015 #5720 Enrollment
Indianapolis,IN 46280 Action: Extended School EnnchnienL Fl�_xRe,� Fees
Primary phone; (317)919- (Monthly)
3838
Email:
tori n nehepler(gig mail.corn
ID:24711
Carter Montieth Forest Dale After-School (Monthly): Nov 1, ESE Each 1.00 $222.00 ($222.00)
1725 E 110th St 2015 - Nov 30, 2015 #5720 Enrollment
Indianapolis,IN 46280 Action: Exiended Schoo: Eririchriient.Flex Reg Fees
Primary phone: (317)919- Refund (Monthly)
3838
Email:
corinneheplerCaigmall.com
ID:24711
Carter Montieth Forest Dale After-School (Monthly): Dec 1, ESE Each 1.00 $222.00 ($222.00)
1725 E 110th St 2015 - Dec 31, 2015 #5720 " Enrollment
Indianapolis,IN 46280 Action: Fx'ended 'School Enrichment F'exRec Fees
Primary phone; (317)919- Rs"fljnd (Monthly)
3838
Email:
corinneheplei-Caigmail.corn
ID: 24711
Carter Montieth Forest Dale After-School (Monthly): ]an 1, ESE Each 1.00 $222.00 ($222.00)
1725 E 110th St 2016 -Jan 31, 2016 #5720 Enrollment
Indianapolis,IN 46280 Action: Fxi.cndt -rj Sr:hoo; Enrichment I.,exRec; Fees
Primary phone: (317)919- R e fl 11, (Monthly)
3838
Email:
https:Hactivenet02').active.com/carrn e lela),parks/servlet/processReceiptPayment.sdi 8/14/2015
Receipt#2000026.003 Page 2 of 2
corinnehepler@gmail.com
ID: 24711
Carter Montieth Forest Dale After-School (Monthly): Feb 1, ESE Each 1.00 $222.00 ($222.00)
1725 E 110th St 2016- Feb 29, 2016 #5720 Enrollment
Indianapolis,IN 46280 Action: Extended S::hoo€ Enn;.hu w' rir. F e:,xRe, Fees
Primary phone:(317)919- Reft n'd (Monthly)
3838
Email:
connneheplerCNgmail.com
ID: 24711
Carter Montieth Forest Dale After-School (Monthly): Mar 1, ESE Each 1.00 $222.00 ($222.00)
1725 E 110th St 2016- Mar 31, 2016 #5720 Enrollment
Indianapolis,IN 46280 Action: FY;e=tr1r'd d c-: E''t- *':rrte!ii ReXRea Fees
Primary phone:(317)919- Pr'f:.ir:'1 (Monthly)
3838
Email:
corinnehepler@gmail.com
ID: 24711
Carter Montieth Forest Dale After-School (Monthly): Apr 1, ESE Each 1.00 $222.00 ($222.00)
1725 E 110th St 2016- Apr 30, 2016 #5720 Enrollment
Indianapolis,IN 46280 Action: irxtended School Ennchmr-nt F exReo Fees
Primary phone:(317)919- Pe'und (Monthly)
3838
Email:
corinneheplerrcDgmail.com
ID:24711
Carter Montieth Forest Dale After-School (Monthly): May 1, ESE Each 1.00 $222.00 ($222.00)
1725 E 110th St 2016- May 31, 2016 #5720 Enrollment
Indianapolis,IN 46280 Action: Exlende, Schoo Enrichment Flex Rea Fees
Primary phone:(317)919- Re`und (Monthly)
3838
Email:
corinneheplerPgrnail.com
ID:24711
Total Charges ($1,998.00)
Total Payments ($1,998.00)
Balance $0
Federal Tax ID # 35-6000972 AUG 19 2095
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https://activenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 8/14/2015
Receipt #2000027.003 Page I of I
Monon Community Center East Voucher #2000027.003
Building Aug 14, 2015 1:30 PM
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (314) 848-7275
FAX: -- Carmel a Clay
Email: info@carmelclayparks.com Parks& R""ecreation
NATIONAL GOLD FAEDAL WINNER
CORINNE HEPLER AND ACCREDiTED AGENCY
1725 E 110TH ST
INDIANAPOLIS, IN 46280
Prepared By: bennyj
Customer ID: 24708
Primary phone: (317) 919-3838, Secondary phone: (317) 919-3838
Refund Summary
Check: ($40.00) Check #
Total Received: ($40,00) Total Refund: ($40.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Corinne Hepler Forest Dale Registration Fee ESE Each 1.00 $40.00 ($40.00)
1725 E 110th St Action: Mlernoershio Cancel Registration
Indianapolis,IN 46280 Expires: Aug 14, 2015 Fee
Primary phone:(317)919- Pass # 100001.4800: Corinne Heipler
3838
Email:
-4
corinnehelpler(ftmad.com
r
ID: 24708 AUG19 2D15 Total Charges ($40.00)
B'y Total Payments ($40.00)
Balance $0
Federal Tax ID # 35-6000972
https:Hactivenet02'3.active.coiii/cariiielclayparks/set-vlet/processRecelptPaynient.sdi 8/14/2015
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II
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.
Hepler, Corinne Terms
1725 E 110th St Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/14/15 2000026003 Refund $ 1,998.00
8/14/15 2000027003 Refund $ 40.00
Total $ 2,038.00
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.
Hepler, Corinne Allowed 20
1725 E 110th St
Indianapolis, IN 46280
In Sum of$
$ 2,038.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#orBoard Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-4 2000026003 4358400 $ 1,998.00 1 hereby certify that the attached invoice(s), or
1081-4 2000027003 4358400 $ 40.00 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
Signature
$ 2,038.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund