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Home My WebLink About187778 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364417 Page 1 of 1 ONE CIVIC SQUARE RACHEL DUNCAN *f CARMEL, INDIANA 46032 11034 PALATKA CT CHECK AMOUNT: $135.00 INDIANAPOLIS IN 46236 CHECK NUMBER: 187778 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 453737 121.00 REFUNDS AWARDS INDE 1082 4358400 457407 14.00 REFUNDS AWARDS INDE w. ACTIVITY REFUND RECEIPT Receipt 457407 Payment Date: 06/29/10 y� Household 24681 Monon Community Center I JUL 0 2 20 1 0 Rachel Duncan Hm Ph: (317)826 -2948 Carmel IN 46032 11034 Palatka Ct. Wk Ph: (317)815 -7200 ��e Indianapolis IN 46236 Cell Ph: (317)695-4105 duncanl 1034 @att.net Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 7.00 Enrollee Name: Robert Duncan Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476003 -07 Outdoor Explorers 67.50 0.00 67.50 0.00 0.00 Enrollment Date: 02116/2010 (Cancelled) Class Location: Meeting House Class Dates: 07112/2010 to 07/16/2010 Meeting House 8:30A to 3:30P 1507 E. 116th Street M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 CANC ELLATION Refund Of 7.00 Enrollee Name: Joseph Duncan Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476003 -07 Outdoor Explorers 67.50 0.00 67.50 0.00 0.00 Enrollment Date: 02116/2010 (Cancelled) Class Location: Meeting House Class Dates: 07/12/2010 to 07/16/2010 Meeting House 8:30A to 3:30P 1507 E. 116th Street M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 06129/10 14:17:06 by BJJ FEES ADJUSTED ON CHANGED ITEMS 14.00 NET AMOUNT FROM CHANGE131TEMS TOTAL AMOUNTREFUNDED 14f00ti NEW NET HOUSEHOLD BALANCE 0.00 Refund of 14.00 Made By REFUND FINAN With Reference r�. All refunds a e subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No "ash or credit card refunds. n 0" Aut oriz ignature Date Authorized Signature Date Page 1 ACTIVITY REFUND RECEIPT Receipt 453737 Payment Date: 06/25/2010 Household 24681 Home Phone: (317)826 -2948 Work Phone: (317)815 -7200 RACHEL DUNCAN Woodbrook Elementary 11034 PALATKA CT. 4311 East 116th Street INDIANAPOLIS IN 46236 Carmel IN 46033 JUL 0 Q 0 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 53.50 Enrollee Name: Robert Duncan Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476003 07 Outdoor Explorers 74.50 0.00 67.50 7.00 0.00 Enrollment Date: 02/16/2010 (Cancelled) Class Location: Meeting House Class Dates: 07/12/2010 to 07/16/2010 Meeting House 8:30A to 3:30P 1507 E. 116th Street M,Tu,W,Th,F Carmel IN 46032 Scheduled Sessions: 5 (317)848 7275 Fee Details: Fee Des Amount C ount Dis count Sales Tax Total Fee Outdoor Explorers 67.50 1.00 0.00 0.00 67.50 Outdoor Explorers 7.00 1.00 0.00 0.00 7.00 Cancel Reason: Change in family plans for the summer. CANCELLATION Refund Of 67.50 Enrollee Name: Joseph Duncan Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476003 -07 Outdoor Explorers 74.50 0.00 67.50 7.00 0.00 Enrollment Date: 02116/2010 (Cancelled) Class Location: Meeting House Class Dates: 07/12/2010 to 07/16/2010 Meeting House 8:30A to 3:30P 1507 E. 116th Street M,Tu,W,Th,F Carmel IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee De scription Amount Cou Discount S ales Tax Tota F ee Outdoor Explorers 67.50 1.00 0.00 0.00 67.50 Outdoor Explorers 7.00 1.00 0.00 0.00 7.00 Cancel Reason: Change in family plans for the summer. C Page 4 1 ACTIVITY REFUND RECEIPT Receipt 453737 Payment Date: 06/25/2010 Household 24681 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 06/25/10 16:01:56 by NUP FEES CHANGED ON CANCELLED ITEMS 135.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00 NET AMOUNT FROM CANCELLED ITEMS 121.00- TOTAL AMOUNT REFUNDED 121.00 V NEW NET HOUSEHOLD BALANCE 0.00 Refund of 121.00 Made By REFUND FINAN With Reference All refu are subject to State Board of Accounts claim procedure and may take 4-6 weeks to process. A check will be issued o cash or credit card refunds. Aut ed Signature Date Authorized Signature Date j �0 2� J Page 2 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, Duncan, Rachel Terms 11034 Palatka Ct Date Due Indianapolis, IN 46236 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/26/10 457407 Refund 14.00 6125110 453737 Refund 121.00 Total 135.00 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 20_ Clerk- Treasurer Voucher No. Warrant No. Duncan, Rachel Allowed 20 11034 Palatka Ct Indianapolis, IN 46236 In Sum of 135.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1082 -3 457407 4358400 14.00 1 hereby certify that the attached invoice(s), or 1082 -3 453737 4358400 121.00 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 15 -Jul 2010 Signature 135.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund