250768 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 363713
ONE CIVIC SQUARE ERIC MEHL CHECK AMOUNT: $*"""'`90.00*
CARMEL, INDIANA 46032 10240 CUMBERLAND POINTE BLVD CHECK NUMBER: 250768
<y,roN NOBLESVILLE IN 46060 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 90.00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1458132
Carmel * ClaPayment Date: 10/06/15
Household #: 32227
Parks&Fie creation
Monon Community Center ,��r-.4R ��_ Eric Mehl Hm Ph: (614)395-0827
Carmel IN 46032 10240 Cumberlant Pointe Blvd
Noblesville IN 46060 Cell Ph:
OCT ® 7 LU15 emehl@carmelclayparks.com
Phone: (317)848-7275
Fed Tax ID#35-6000972 �y Y
Enrollment Details
ROSTER CHANGE -Refund Of 90.00
Enrollee Name: Wesley Mehl Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476003-05 Outdoor Explorers 90.00 0.00 90.00 0.00 0.00
Enrollment Date: 03/08/2015 (Enrolled)
Class Location: Multipurpose Room C Class Dates: 06/29/2015 to 07/03/2015
Monon Community Cntr 8:00A to 5:30P
M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848-7275
Skip Days 07/04/2013, 07/05/2013
Special Questions: Child's T-Shirt Size?: YM
Child's Swimming Level?: Int
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/06/15 @ 15:12:32 by JAB FEES ADJUSTED ON CHANGED ITEMS(+) 90.00-
NET AMOUNT FROM CHANGED ITEMS 90.00-
TOTAL AMOUNT REFUNDED 90.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 90.00 Made By=_>REF:Accounts
FINAN eft+rR erence=_>parent request;82-3-4358400 refund
All re ur.1d re subject to State Bo A procedures and may take 4-6 weeks to process. No cash refunds will be
1
ued.
Authorized S' nature Date Authorized Signature Date
Escape Day Passes are 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.
Melh, Eric Terms
10240 Cumberland Pointe Blvd Date Due
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/15 1458132 Refund $ 90.00
Total $ 90.00
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.
Melh, Eric
X1,0240 C mb0`rlantl ,, Allowed 20
Pointe"=
Nobl Blvd° ' ,
esville;:IN:`46060'
New Address '.
In Sum of$
$ 90.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or
Dept# INVOICE NO. ACCT#/TITL AMOUNT Board Members
1082-3 1458132 4358400 $ 90.00
I 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
October 8, 2015
PAN"UXtAi
Signature
$ 90.00
Cost distribution ledger classification if Accounts Payable Coordinator
claim paid motor vehicle highway fund Title