187859 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364424 Page 1 of 1
ONE CIVIC SQUARE LEANNE HOFFBAUER CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 4502 ELKHORN DR
NOBLESVILLE IN 46062
CHECK NUMBER: 187859
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 471425 35.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 471425
Payment Date: 07/13/10
Household 34779
Monon Community Center Leanne Hoffbauer Hm Ph: (317)416 -7946
Carmel IN 46032 4502 Elkhorn Drive
Noblesville IN 46062 Cell Ph:
dleannet @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Ella Hoffbauer Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103003 -53 Preschool Level 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/06/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Ind Lesiure 2 Class Dates: 08105/2010 to 08/26/2010
Monon Community Cntr 10:15A to 11:OOA
Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07113/10 06:16:30 by ERM FEES CHANGED ON CANCELLED ITEMS 42.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
7N ETvAM0UNT4FR0MICANCEttLED ITEMSILJJ 35:00-
naT,OTALiAMOUNVREFUNDEDF L ,s' 35100 r
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 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.
711 511 c)
Authorized Signature Date Authorized Signature Date
1 0�� 10 '-13_'; yuv
AM X77 T 7
JUL 1 4 2010 Uj
BY:
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.
Hoffbauer, Leanne Terms
4502 Elkhorn Drive Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7113/10 471425 Refund 35.00
Total 35.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Hoffbauer, Leanne Allowed 20
4502 Elkhorn Drive
Noblesville, IN 46062,
In Sum of$
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept
1096 -10 471425 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
15 -Jul 2010
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund