HomeMy WebLinkAbout187808 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: T358257 Page 1 of 1
ONE CIVIC SQUARE MARGARET FUERTGES
CARMEL, INDIANA 46032 5719 KENDERLY COURT CHECK AMOUNT: $78.00
CARMEL IN 46032 CHECK NUMBER: 187808
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 458891 78.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 458891
Payment Date: 07/01/10
Household 1784
Monon Community Center Margaret Fuertges Hm Ph: (317)810 -0003
Carmel IN 46032 5719 Kenderly Ct.
Carmel IN 46033 Cell Ph:
fuertges_meg@hotmall.com
Phone: (317)848 -7275
Fed Tax (0 #35- 6000572
Enrollment Details
CANCELLATION Refund Of 78.00
Enrollee Name: Nicholas Fuertges Fee Ta Discount Prev Paid Cur Paid Amount Due
Activity Number. 105014-03 Pee Wee Goff 7.00 OM OM 7.00 0.00
Enrollment Date! 0411312010 (Cancelled)
Primary Instructor Plum Creek Goff
Class location: Plum Creek Goff Club Class Dates 07/13/2010 to 07/16/2010
Plum Creek Goff Cour 8:30A to 9:30A
12401 Lynnwood Blvd. Tu,W,Th,F
Carmel, IN 46033 Scheduled sessions: 4
(317)84 8-7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/01/10 07:48:01 by CNA FEES CHANGED ON CANCELLED ITEMS 85.00
SURCHARGE APPLIED AGAINST CANCELLED FEES( 7.00
NET AMOUNT'FROM`CANCELLED ITEMS 78.00-
TOTAL AMOUNT REFUNDED 78:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 78.00 Made By REFUND FINAN' With Reference advanced 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.
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AutArized Signature Date rized Signature Date
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BY:
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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.
Fuertges, margaret Terms
5719 Kenderly Ct. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
711!10 458891 Refund 78.00
Total 78.00
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
f.
Voucher No. Warrant No.
Fuertges, margaret Allowed 20
5719 Kenderly Ct.
Carmel, IN 46033
In Sum of
78.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 458891 4358400 78.00 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
15 -Jul 2010
Signature
78.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund