HomeMy WebLinkAbout187756 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364413 Page 1 of 1
ONE CIVIC SQUARE BRIAN COX
CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 14162 LEDGEWOOD WAY
CARMEL IN 46032 CHECK NUMBER: 187756
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 467731 60.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 467731
Payment Date: 07/09/10
Household 17651
Monon Community Center Brian Cox Hm Ph: (317)574 -0690
Carmel IN 46032 14162 Ledgewood Way
Carmel IN 46032 Cell Ph:
blrmkr@sbcglobal.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 60.00
Enrollee Name: Brian Cox Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 107416 -02 Parental Controls an 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/08/2010 (Cancelled)
Primary Instructor: Selective Training
Class Location: Computer Lab Class Dates: 07/15/2010 to 07/15/2010
Monon Community Cntr 7:00P to 8:45P
Th
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/09/10 07:52:24 by MML FEES CHANGED ON CANCELLED ITEMS 60.00
NET AMOUNT FROM CANCELLED ITEMS 6fl.00-
TOTAL AMOUNT REFUNDED 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By REFUND FINAN With Reference low enrollment
All refuntar u 2ject)6 State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. it car refunds.
7 ro 1I3 L0
Authorized Sign Date Author ed Signature Date
JUL 56. WOO
14 20io bd
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.
Cox, Brian Terms
14162 Ledgewood Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7!9110 467731 Refund 60.00
Total 60.00
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
r
Voucher No. Warrant No.
Cox, Brian Allowed 20
14162 Ledgewood Way
Carmel, IN 46032.
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 467731 4358400 60.00 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
QT
Signature
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund