HomeMy WebLinkAbout249359 09/09/15 >? R CITY OF CARMEL, INDIANA VENDOR: 368626
ONE CIVIC SQUARE CHRISTY MCDANIEL CHECK AMOUNT: $ ....."`7.00"
. =4 CARMEL, INDIANA 46032 6105 PILLORY PLACE CHECK NUMBER: 249359
INDIANAPOLIS IN 46254 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 7.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1457477
Carmel % iay Payment Date: 08/25/15
J -.,.r�, r Household#: 43184
AUG 21) .
AUG 2 6 2015 i
Monon Community Center _ Christy McDaniel Hm Ph: (317)293-7481
Carmel IN 46032 - ------ 6105 Pillory Place
Indianapolis IN 46254 Cell Ph:(317)979-7450
clmcdaniel@earthlink.net
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 7.00
Enrollee Name: Jacob McDaniel Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 158093-04 Adaptive Open Swim 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/16/2015 (Cancelled)
Class Location: Outdr Leisure Pool Class Dates: 08/25/2015 to 08/25/2015
Monon Community Cntr 5:45P to 7:OOP
Tu
Carmel, IN 46032 Scheduled Sessions: 1
(317)848-7275
Cancel Reason: Visit Refund
The following item reflects a_payment towards a_previous receipt
Enrollee Name: Jacob McDaniel Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 158081-01 Adaptive Flowrider 8.00 0.00 0.00 8.00 0.00
Enrollment Date: 07/16/2015 (Enrolled)
Class Location: Flowrider Class Dates: 08/31/2015 to 08/31/2015
MC Outdoor Aquatics 7:15P to 8:45P
M
Carmel, IN 46032 Scheduled Sessions: 1
Special Questions: Is guest tall enough to participate in program?: YES-Above 52" and would like to try to surf
PREVIOUS NET HOUSEHOLD BALANCE 8.00
Processed on 08/25/15 @ 11:12:09 by MYADON FEES CHANGED ON CANCELLED ITEMS(+) 15.00-
NET AMOUNT FROM CANCELLED ITEMS 15.00-
FEES ADJUSTED ON CHANGED ITEMS(+) 0.00
NET AMOUNT FROM CHANGED'ITEMS 0.00
Uo . 1?)556' qot
HH BALANCE APPLIED TO THIS RECEIPT(+) 8.00
TOTAL AMOUNT REFUNDED 7.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 7.00 Made By=_>REFUND FINAN With Reference
Payment of=_> 8.00 Made By=_> Activity Registration Credit Balance
Page# 1 of 2
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.
McDaniel, Christy Terms
6105 Pillory Place Date Due
Indianapolis, IN 46254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/15 1457477 Refund $ 7.00
Total $ 7.00
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.
McDaniel, Christy Allowed 20
6105 Pillory Place
Indianapolis, IN 46254
In Sum of$
$ 7.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1096-70 1457477 4358400 $ 7.00 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
September 4, 2015
Signature
$ 7.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund