HomeMy WebLinkAbout187868 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: T357724 Page 1 of 1
ONE CIVIC SQUARE KAREN HUFFORD
CARMEL, INDIANA 46032 1185 WOODGATE DRIVE CHECK AMOUNT: $386.00
'c,, off La CARMEL IN 46033 CHECK NUMBER: 187868
CHECK DATE: 7121/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 474972 386.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 474972
Payment Date: 07/15/10
Household 7331
C?i TR, Cr? p K r 71,3 r
1Vlonon Community Center JUL 15 1010 Karen Hufford Hm Ph: (317)581 -1613
Carmet IN 46032 1185 Woodgate Dr.
Carmel IN BY: huffoz @aol m Cell Ph:
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 186.00
Enrollee Name: Adam Hufford Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103023 -02 Lifeguard Class 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 06/01/2010 (Cancelled)
Class Location: Party Room B Class Dates: 07/20/2010 to 07/23/2010
Monon Community Cntr 8:30A to 5:30P
Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 7275
Cancel Reason: Advanced Request
CANCELLATION Refund Of 200.00
Enrollee Name: Ben Hufford Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103023 -02 Lifeguard Class 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 06/01/2010 (Cancelled)
Class Location: Party Room B Class Dates: 07/20/2010 to 07/23/2010
Monon Community Cntr 8:30A to 5:30P
Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/15/10 10:1513 by ERM FEES CHANGED ON CANCELLED ITEMS 400.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 14.00
4NETuAMOUNT�F „ROM6CANCELLED,ITEMS', 386e00`-
TiOT,AL "fAMOUNTdREF,UNDED?,Ng' E a°
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 386.00 Made By REFUND FINAN With Reference Advanced Request
Rewards Points refunded on this receipt: 1.40
Household Reward Point Balance: 41.40
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Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of biil 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.
Terms
Hufford, Karen
1185 Woodgate Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
or note attached in Amount
Date Number voice(s) or bill(s)) 386.00
7/15110 474972 Refund
Total 386.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IG 5- 11- 10 -1.6
1 20
Clerk Treasurer
Voucher No. Warrant No.
Hufford, Karen Allowed 20
1185 Woodgate Dr
Carmel, IN 46033
In Sum of
386.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -10 474972 4358400 386.00 i 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
386.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund