HomeMy WebLinkAbout187829 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364422 Page 1 of 1
ONE CIVIC SQUARE SUSAN GRADDY
CARMEL, INDIANA 46032 2164 MUSTANG CHASE DR CHECK AMOUNT: $26.00
WESTFIELD IN 46074 CHECK NUMBER: 187829
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 458879 26.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 458879
Payment Date: 06/30/10
Household 26034
lonon Community Center Susan Graddy Hm Ph: (317)816 -0628
armel IN 46032 2164 Mustang Chase Dr.
Westfield IN 46074 Cell Ph: (317)292 -1223
thomas.graddy@cnh.com
hone: (317)848 -7275
ed Tax ID #35- 6000972
;nrollment Details
CANCELLATION Refund Of 26.00
Enrollee Name: Megan Graddy Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 108104 -01 Lawn Games 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04119/2010 (Cancelled)
Class Location: West Park Field Class Dates: 07/01/2010 to 07/29/2010
West Park 6:OOP to 7:OOP
2700 W. 116th St. Th
Carmel IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: Low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/30/10 20:59:14 by BNT FEES CHANGED ON CANCELLED fTEMS 26.00
NET AMOUNT FROM' CANCELLED ITEMS 26.00
TOTAL AMOUNT REFUNDED 26.00 F
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 26.00 Made By REFUND FINAN With Reference Low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
4 ssued.. No cash or credit card refunds.
Authorized ki9vure Date Authorized Signature Date
Q JUL o 6 201
BY...... .................s
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.
Graddy, Susan Terms
2164 Mustang Chase Dr. Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6130110 458879 Refund 26.00
Total 26.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
20
Clerk Treasurer
Voucher No. Warrant No,
Graddy, Susan Allowed 20
2164 Mustang Chase Dr,
Westfield, IN 46074
In Sum of
26.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1096 -70 458879 4358400 26.00 1 hereby certify that the attached invoice(s), or
bitl(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
&LhIM224-
Signature
26.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund