HomeMy WebLinkAbout187429 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364323 Page 1 of 1
ONE CIVIC SQUARE STEPHANIE ROBINSON CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 4817 ESSEX CT
CARMEL IN 46033 CHECK NUMBER: 187429
CHECK DATE: 7/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
1096 4358400 452797 35.00 REFUNDS AWARDS INDE
�1
ACTIVITY REFUND RECEIPT
Receipt 452797
Payment Date: 06/25/10
Household 35447
Motion Community Center Stephanie Robinson Hm Ph: (317)669 -2361
Carmel IN 46032 4817 Essex Ct
Carmel IN 46033 Cell Ph:
f curls100 @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Emollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Miles Robinson Fees Tax Discount Prev Paid Our Paid Amount Due
Activity Number: 103003 -38 Preschool Level 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 0610412010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Outdr Leisure Pool 2 Class Dates: 07/19/2010 to 07/22/2010
Monon Community Cntr 9:15A to 10:OOA
M,Tu,W,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 08:06:58 by CEK FEES CHANGED ON CANCELLED ITEMS 42.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNTIFROM;CANCELLED`ITEMS ,3500 ='s
=TOTAL AMOUNT:REFUNDED C b. v a T' ..$3500.,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference advance request
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
y W1-.T o
Authorized Signature Date Authorized Signature bate
JUN 2 5 1010
BY:
Page 1
ACCOUNTS PAYABLE VOUCHER
f' CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Robinson, Stephanie Terms
4817 Essex Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6125/10 452797 Refund 35.00
Total 35.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Robinson, Stephanie Allowed 20
4817 Essex Ct
Carmel, IN 46033
In Sum of$
r 35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 452797 4358400 35.00 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
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund