HomeMy WebLinkAbout187726 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364412 Page 1 of 1
ONE CIVIC SQUARE JO ANN BUBOLZ
;F ro CARMEL, INDIANA 46032 1246 EDITH AVE CHECK AMOUNT: $15.00
NOBLESVILLE IN 46060 CHECK NUMBER: 187726
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 470889 15.00 REFUNDS AWARDS INDE
t
ACTIVITY REFUND RECEIPT
Receipt 470889
Payment Date: 07/12/10
Household 33960
lonon Community Center Jo Ann Bubolz Hm Ph: (317)491 -3354
armel IN 46032 1246 Edith Ave. Wk Ph: (317)
Noblesville IN 46060 Cell Ph:
hone: (317)848 -7275
ad Tax ID #35- 6000972
nrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Ashley BubOlz Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 108085 -02 Parents Night Out 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/1412010 (Cancelled)
Class Location: Program Room A Class Dates: 07/16/2010 to 07/16/2010
Monon Community Cntr 5:30P to 8:30P
F
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: Low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/12/10 13:00:30 by BNT FEES CHANGED ON CANCELLED ITEMS 15.00
NET AMOUNT FROM CANCELLED 15.00
TOTAL AMOUNT REFUNDED 15.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 15.00 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
issued. No cash or credit card refunds.
Authorized Signatu Date Autho zed Signature Date
Pr 771 7_7 I
bU JUl. 1 4 1010
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.
Bubolz, Jo Ann Terms
1246 Edith Ave Date Due
Noblesville, IN 46060
R
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7112110 470889 Refund 15.00
Total 15.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Bubolz, Jo Ann Allowed 20
1246 Edith Ave
Noblesville, IN 46060
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
Dept
1096 -70 470889 4358400 15.00 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
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund