HomeMy WebLinkAbout187693 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364411 Page 1 of 1
ONE CIVIC SQUARE KRISTEN ATTEBERRY
CARMEL, INDIANA 46032 5163 CLEAR LAKE CT CHECK AMOUNT: $480.00
CARMEL IN 46033 CHECK NUMBER: 187693
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 459605 480.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt# 459605
Payment Date: 07/01/10
Household 23518
Orchard Park Element Kristen Atteberry Hm Ph: (317)816 -9964
10404 Orchard Park Drive South 5163 Clear Lake Court
Indianapolis IN 46280 Carmel IN 46033 Cell Ph:
kmdindy @sbcglobal.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 160.00
Enrollee Name: William Atteberry Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -15 Vacation Station 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/10/2010 (Cancelled)
Class Location: Clay Middle School Class Dates: 06/28/2010 to 07/02/2010
Clay Middle School 7:00A to 6:OOP
5150 East 126th Street M,Tu,W,Th,F
Carmel IN 46033 Scheduled Sessions: 5
(317)848 -7275
CANCELLATION Refund Of 160.00
Enrollee Name: William Atteberry Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -16 Vacation Station 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/10/2010 (Cancelled)
Class Location: Clay Middle School Class Dates: 07/05/2010 to 07/09/2010
Clay Middle School 7:OOA to 6:OOP
5150 East 126th Street M,Tu,W,Th,F
Carmel, IN 46033 Scheduled Sessions: 5
(317)848 -7275
CANCELLATION Refund Of 160.00
Enrollee Name: William Atteberry Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -17 Vacation Station 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/1012010 (Cancelled)
Class Location: Clay Middle School Class Dates: 07/12/2010 to 07/1612010
Clay Middle School 7:OOA to 6 :00P
5150 East 126th Street M,Tu,W,Th,F
Carmel, IN 46033 Scheduled Sessions: 5
(317)848 -7275
PREVIOUS NET HOUSEHOLD BALANCE 0-00
Processed on 07/01/10 16:00:25 by JEH FEES CHANGED ON CANCELLED ITEMS 480-00- 77 777-
'NET AMOUNT FROWCANCELLED1TEM5° 480:00
JUL 2 2010
TOTAL AMOUNT_REFUNDED�
......o NEW NET HOUSEHOLD BALANCE 0.00
!j Page 1
ACTIVITY REFUND RECEIPT
Receipt 459605
Payment Date: 07/0112010
Household 23518
Refund of 480.00 Made By REFUND FINAN With Reference
All refunds re subject to State Board of Accounts A of claim procedure and may take 4 -6 weeks to process. A check will be
issued. N cash or credit card refunds.
A orized Signature Date Authorized Signature Date
r
d� 1
0
jUL 1 2 2010
BY:
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.
Atteberry, Kristen Terms
5163 Clear Lake Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/10 459605 Refund 480.00
Total 480.00
1 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.
Atteberry, Kristen Allowed 20
5163 Clear Lake.Court
Carmel, IN 46033
In Sum of
480.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1082 -1 459605 4358400 480.00 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
480.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund