HomeMy WebLinkAbout187490 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364327 Page 1 of 1
t, ONE CIVIC SQUARE KAREN WHARTON
12853 HARRISON DR CHECK AMOUNT: $32.10
CARMEL, INDIANA 46032
CARMEL IN 46033 CHECK NUMBER: 187490
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 452820 32.10 REFUNDS AWARDS INDE
FACILITY REFUND RECEIPT
Receipt 452820
Payment Date: 06/25/10
Household 35303
Monon Community Center Karen Wharton Hm Ph: (317)843 -2701
Carmel IN 46032 12853 Harrison Dr.
Carmel IN 46033 Cell Ph: (317)694 -7456
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Facility Reservation Details
CANCELLATION Refund Of 32.10
Facility: Monon Community Cntr, Indoor Lap Pool 1
Reserv. contact: Karen Wharton, Cell: (317)694 -7456
Reserv. Number: 12833 Status: Cancelled
Purpose: Locker rental June and July
Dale Day Time Fees Tax Discount Prev Paid Cur Paid Amount Due
06/03/2010 Thu &00A to 6:15A 0.00 0.00 0.00 0.00 0.00
Cancel Reason: customer service
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/25/10 10:51:59 by CEK FEES CHANGED ON CANCELLED ITEMS 30.00-
SALES TAX CHARGED ON CANCELLED FEES 2.10
;,NETAMOUNT FROM'CANCELLED ITEMS w .r;:z{ „.32
TOTAL AMOUNT;;32EFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 32.10 Made By REFUND FINAN With Reference check
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.
The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are
left at zero for reservation purposes, but will be updated after the reservation date. As soon as this data is available, you will
be invoiced for the current amount due. Please remit to our office within 10 days of the invoice date.
Authorized Signature Date Authorized Signature Date
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.
Wharton, Karen Terms
12853 Harrison Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6125/10 452820 Refund 32.10
Total 32.10
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,
Wharton, Karen Allowed 20
12853 Harrison Dr
Carmel, IN 46033
In Sum of$
32.10
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -10 452820 4358400 3210 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
32.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund