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Home My WebLink About255411 02/12/16 {u1.Cgq�F q`/ \� CITY OF CARMEL, INDIANA VENDOR: 370305 �l ONE CIVIC SQUARE RUTH WEGELIN CHECK AMOUNT: $*******477.50* r• ,=a; CARMEL, INDIANA 46032 5688 SAPPHIRE DR CHECK NUMBER: 255411 pM�TON�` CARMEL IN 46033 CHECK DATE: 02/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 1458778 427.50 REFUNDS AWARDS & INDE 1096 4358400 2000445003 50.00 REFUNDS AWARDS & INDE 1 I Voucher No. Warrant No. Wegelin, Ruth Allowed 20 5688 Sapphire Dr Carmel, IN 46033 In Sum.of$ $ 477.50 i ON ACCOUNT OF APPROPRIATION FOR i 108 ESE/ 109 MCC PO#or INVOICE NO. g43584OO AMOUNT Board Members Dept# 1096-40 2000445003 $ 50.00 1hereby certify that the attached invoice(s), or 1081-5 1458778 $ 427.50 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 i February 5, 2016 i Signature $ 477.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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. Wegelin, Ruth Terms 5688 Sapphire Dr Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/29/16 2000445003 Refund $ 50.00 1/6/16 1458778 Refund $ 427.50 Total $ 477.50 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 Carmto CIPY PASS REFUND RECEIPT e�' Receipt# 1458778 rks� eerea ion IEECEIVE Payment Date: 01/06/2016 Household M 55265 FEB - 5 2016 Refundof==> 42,7�'SOEFUNWD�F,INANV/ith Reference _>_ AIL.refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issue Autho Signature Date Authorized Signature Date Escape Day Passes are non-refundable. C Page# 3 of 3 Receipt#2000445.003 Page 1 of 1 ' 4 "�•,-+u1Y•,�-#�.'�7;'� �T::Ct3-`} i `^°- w'�'^t^ 3i,.3�^t`�' " 1 of dt,4,._- Monon Community Center Ea t FEB - 2 2016 VOUUCCh'�i'�'920004"45'.0'03 "' Building ]a n;29 _r201�6 �i2 1235 Central Park Dr. East Carmel, IN 46032 Phone: (314) 848-7275 111L r FAX: -- Carmel le .clamir Email: info@ca.rmelclayparks.comPar i g-Recreation NATIONAL GOLD MEDAL WINNER RII�TH INEGELI'Nh D 1� E I'tED . , E C 58�SA 68P,ik R '-;;DR CARMEL;3IN-46'0 Prepared By: amandaj Customer ID: 11247 Y Primary phone: (512) 626-7179;.Secondary phone: (512)' 626-7179 Refund Summary 'fir Total Received: ($50.00) Total Refund: (I50004) Transactions Customer. Description Item Unit Qty Fee.Charge Myles wegelin Nature&Science Spectacular#366039-02 Activity Fee Each 1.00 $50.00 ($50.00) 5688 sapphire Dr Action:Withdraw Caramel,IN 46033 Withdrawal Date: Jan 29, 2016 Primary phone:(512)626- 7179 Meets: From February 4, 2016 to.February 25, 2016 Email: Each Thursday from 5:30pm to 6:15pm ruthwegelin@gmeil.com Location:.Program Room A at ID:33388 .Monon Community Center East Building Total Charges ($50.00) Total. Payments, ($50.00). : Balance . $0 Le https:Hactivenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 1/29/20.16 PASS REFUND RECEIPT = C2` ecesptf#� 1P45878 Carmel o C' ?y �Payrient01/_06/1.6 Household#. 55265 Parks& ecreation Monon Community Center Ruth W,ee eltn Hm Ph:(512)626-7179 Cannel IN 46032 .5688 Sapp tr gnue Carmel IN 46033 Cell Ph:(512)626-7179 ruthwegelin@'gmall co'm Phone: (317)848-7275 Fed Tax ID#35-6000972 Pass Details CANCELLATION -Refund Of 22.50 Pass Holder: David Wegelin Fees+Tax Discount Prev"Paid' Cur Paid Amount Due Pass Type: 10-Visk(ESE10V),#268999 22.50 0.00 22.50 0.00 0.00 Valid Dates: 08/13/2014 to 05/27/2015 (Pass Cancellation) Cancellation Effective: .01/0612016_ Cancel Reason: no longer need ese(carryover visits on 10-v punch card) CANCELLATION -Refund Of 45.00 Pass Holder: David Wegelin Fees+Tax Discount Prev Paid. Cur Paid Amount Due Pass Type: 10-Visit(ESE10V),#269000 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/13/2014 to 05/27/2015 (Pass Cancellation) Cancellation Effective: 01/06/2016 Cancel Reason: no longer need ese (carryover visits on 1.0-v punch card) CANCELLATION -Refund Of 45.00 Pass Holder: David Wegelin Fees+Tax Discount Prev Paid Cur Paid Amount:Due Pass Type: 10-Visit(ESE10V),#269002 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/13/2014 to 05/27/2015 (Pass Cancellation) .Cancellation Effective: 01/06/2016 Cancel Reason: no longer need ese(carryover visits on 10-v punch card) CANCELLATION -Refund Of 45.00 Pass Holder: David Wegelin Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 10-Visit(ESE10V),#269004 0.00 0.00 0.00 0.00 0.00 Valid Dates: 08/13/2014 to 05/27/2015 (Pass Cancellation) -Cancellation Effective: 01/06/2016- - Cancel.Reason: no longer need ese(carryover visits on 10-v punch card) CANCELLATION-Refund Of 45.00 Pass Holder: David Wegelin Fees+Tax Discount Prev Paid Cur Paid Amount Due .Pass Type: 10-Visit(ESE10V),#269006 0.00 0.00 0.00 0.00 0:00. Valid Dates: 08/13/2014 to 05/27/2015 (Pass Cancellation) Cancellation Effective: 01106/2016 Cancel Reason: no longer need ese (carryover visits on 10-v punch card) Page# 1 of 3