187234 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364299 Page 1 of 1
ONE CIVIC SQUARE KRISTEN BOICE
107 CHEROKEE LANE CHECK AMOUNT: $92.00
CARMEL, INDIANA 46032
NOBLESVILLE IN 46062 CHECK NUMBER: 187234
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 45245 92.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 452545
Payment Date: 06/24110
Household 33906
Monon Community Center Kristen Boice Hm Ph: (317)776 -3844
Carmel IN 46032 107 Cherokee Lane
Noblesville IN 46062 Cell Ph:
kristenboice( yahoo.com
Phone: (317)848 -7275
r=eal Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 92.00
Enrollee Name: Ali Boice Fees +Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 1 0 51 9 8-02 Music for Little Moz 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/21/2010 (Cancelled)
Class Location: Meeting Room Class Dates: 07/1012010 to 08/28/2010
Monon Community Cntr 11:OOA to 11:45A
Sa
Carmel, IN 46032 Scheduled sessions: 8
(317)848 -7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/24/10 16:14:38 by CNA FEES CHANGED ON CANCELLED ITEMS 99.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 92.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 92.00 Made By REFUND FINAN With Reference advanced request
All refunds are subject to State Board of Accounts Bairn procedure and may take 4-6 weeks to process. A check will be
issued. No cash or credit card refunds.
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Auth rized Signature Date &&Anzed Signahae Date
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Page 1
ACCOUNTS PAYABLE VOUCHER
,1 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.
Boice, Kristen Terms
107 Cherokee Lane Date Due
Noblesville, IN 46062
4
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6124/10 452545 Refund 92.00
Total 92.00
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
i
Voucher No. Warrant No.
Boice, Kristen Allowed 20
107 Cherokee Lane
Noblesville, IN 46062
In Sum of
92.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 452545 4358400 92.00 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
92.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund