HomeMy WebLinkAbout187440 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364325 Page 1 of 1
0 ONE CIVIC SQUARE KEVIN SHERD CHECK AMOUNT: $110.00
ro CARMEL, INDIANA 46032 1509 WARWICK CT
CARMEL IN 46033 CHECK NUMBER: 187440
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 450728 110.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 450728
Payment Date: 06/23/10
Household 8005
Monon Community Center Kevin Sherd Hm Ph: (317)815 -3756
Carmel IN 46032 1509 Warwick Ct.
Carmel IN 46033 Cell Ph: (317)753-2742
khsherd @yahoo.com
��one: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 55.00
Enrollee Name: Gage Sherd Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103006 -27 Learn to Swim Lvl 1 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06117/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Outdoor Lap Pool 1 Class Dates: 07/1012010 to 07/31/2010
Monon Community Cntr 9:05A to 10:OOA
Sa
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: staff error
CANCELLATION Refund Of 55.00
Enrollee Name: David Sherd Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103006 -27 Learn to Swim Lvl 1 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/17/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Outdoor Lap Pool 1 Class Dates: 07110/2010 to 07/31/2010
Monon Community Cntr 9:05A to 10:OOA
Sa o�
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275 J 2 5 201
Cancel Reason: staff error
BY:
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/23110 12:25:50 by CEK FEES CHANGED ON CANCELLED ITEMS 110.00
NETfiAMOUNT ;FROMtCANCEL•LEDuITEMS v11O'0&.'
11 'TOTACAMOLINT;REF LINDED vn a 110:00, x
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 110.00 Made By REFUND FINAN With Reference staff error
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.
Page 1
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ACTIVITY REFUND RECEIPT
Receipt 450728
Payment Date: 06/23/2010
Household 8005
Authorized Signature Date Authorized Signature Date
f
Page 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be property 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.
Sherd, Kevin Terms
1509 Warwick Ct Date Due
Carmel, I N 46033
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
6/23110 450728 Refund 110.00
Total 110.00
I 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.
Sherd, Kevin Allowed 20
1509 Warwick Ct
Carmel, IN 46033
In Sum of
110.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #1TITt_E AMOUNT Board Members
Dept
1096 -10 450728 4358400 110.00 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
110.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund