HomeMy WebLinkAbout187278 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364304 Page 1 of 1
0 ONE CIVIC SQUARE MARY DONNELLY
CARMEL, INDIANA 46032 10908 WESTON DR CHECK AMOUNT: $19.00
CARMEL IN 46032
CHECK NUMBER: 187278
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 451464 19.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 451464
Payment Date: 06/23/10
Household 26021
Morton Community Center Mary Donnelly Hm Ph: (317)873 -4610
Carmel IN 46032 10908 Weston Dr
Carmel IN 46032 Cell Ph:
katiemelde @gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 19.00
Enrollee Name: Kee Lee Donnelly Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103001 -13 Parent Child Lvl 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/24/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Ind Leisure 1 Class Dates: 07/20/2010 to 07/29/2010
Monon Community Cntr 6:30P to 7:OOP
Tu,Th
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: advance request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06123/10 16:15:16 by CEK FEES CHANGED ON CANCELLED ITEMS 26.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET:AMOUNT'FRUM'CANCELLEWTEMS
TOTAL AMO,UNT,:REF.UNDED r ti 19106
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 19.00 Made By REFUND FINAN With Reference advance request
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.
x31
Authorized Signature Date Authorized Signature Date
D 'No
(09(,. 10. JUN 2 5 20'10
BY:
Page 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.
Donnelly, Mary Terms
10908 Weston Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6123110 451464 Refund 19.00
Total 19.00
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.
Donnelly, Mary Allowed 20
10908 Weston Dr
Carmel, IN 46032
In Sum of
19.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 451464 4358400 19.00 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
19.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund