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Home My WebLink About187210 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364297 Page 1 of 1 ONE CIVIC SQUARE DINESH AMBRAVANESWARAN CHECK AMOUNT: $103.00 13748 STANFORD DRIVE CARMEL, INDIANA 46032 ZIONSVILLE IN 46077 CHECK NUMBER: 187210 CHECK DATE: 7/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 452799 103.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 452799 Payment Date: 06/25/10 Household 4016 Monon Community Center Dinesh Ambravaneswaran Hm Ph: (317)663 -0441 Carmel IN 46032 13748 Stanford Drive Zionsville IN 46077 Cell Ph: dinesheswaran @hotmail.com Pone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 48.00 Enrollee Name: Janani ESwaran Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 103008 -21 Learn to Swim Lvl 3 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/08/2010 (Cancelled) Primary Instructor: CCPR Staff Class Location: Indoor Lap Pool 4 Class Dates: 07/06/2010 to 07/15/2010 Monon Community Cntr 7:05P to 8:OOP Tu,Th Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: advance request CANCELLATION Refund Of 55.00 Enrollee Name: Janani ESwaran Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 103008 -27 Learn to Swim Lvl 3 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/13/2010 (Cancelled) Primary Instructor: CCPR Staff Class Location: Indoor Lap Pool 4 Class Dates: 07/20/2010 to 07/29/2010 Monon Community Cntr 7:05P to 8:OOP Tu,Th Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: advance request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 06/25/10 08:20:17 by CEK FEES CHANGED ON CANCELLED ITEMS 110.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00 D '.NET AMOUNTFROM CANCELL•ED.'ITEMS 103:00 kch VG JUN 2 5 2 010 IJOTAL AMOUNT REFUNDED 103.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 103.00 Made By REFUND FINAN With Reference advance request Rewards Points refunded on this receipt: 0.70 Household Reward Point Balance: 22.70 Page 1 ACTIVITY REFUND RECEIPT Receipt 452799 Payment Date: 06/25/2010 Household 4016 All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No cash or credit card refunds. G of q s Authorized Signature Date Authorized Signature Date OQ Page 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. Ambravaneswaran, Dinesh Terms 13748 Stanford Drive Date Due Zionsville, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/25/10 452799 Refund 103.00 Total 103.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Ambravaneswaran, Dinesh Allowed 20 13748 Stanford Drive Zionsville, IN 46077 In Sum of 103.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -10 452799 4358400 103.00 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 1 -Jul 2010 Signature 103.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund