HomeMy WebLinkAbout187904 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364426 Page 1 of 1
ONE CIVIC SQUARE SCOTT JOHNSON CHECK AMOUNT: $78.00
CARMEL, INDIANA 46032 14815 SADDLEHORN CT
CARMEL IN 46033 CHECK NUMBER: 187904
CHECK DATE: 7/2112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 458960 78.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 458960
Payment Date: 07/01 /10
Household 34545
Monon Community Center Scott Johnson Hm Ph: (317)844 -0923
Carmel IN 46032 14815 Saddlehom Ct.
Carmen IN 46033 Cell Ph:
sjohnson @ncaa.org
Phone: (317)848 -7275
Fed Tax 10 #35- 61300972
Enrollment Details
CANCELLATION Refund Of 78.04
Enrollee Name: Tyler Johnson Fees Tax Discount Pear Paid Car Paid Amount Due
Activity Number. 105014 -03 Pee Wee Golf 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 0412412010. (Cancelled)
Primary Instructor Plum Creek Golf
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)848-7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/01110 1128:56 by CNA FEES CHANGED -ON CANCELLED ITEMS 85.00
SURCHARGE APPLIED AGAINST CANCE1 1ED 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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advanced reque -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.
Johnson, Scott Terms
14815 Saddlehorn Ct. Date Due
Carmel, IN 46433
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amoun#
7!1110 458960 Refund 7800
Total 78.00
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.
Johnson, Scott Allowed 20
14815 Saddlehorn 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 458960 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
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Signature
78.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund