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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 LBY _-_-__ �o 1I k4 l a, ks 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 r � � _, \\ 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