HomeMy WebLinkAbout187959 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364429 Page 1 of 1
ONE CIVIC SQUARE TAMMY MOON CHECK AMOUNT: $83.00
CARMEL, INDIANA 46032 14327 DOVE DRIVE
4 o� CARMEL IN 46033 CHECK NUMBER: 187959
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 459852 83.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 459852
Payment Date: 07/02/10
Household 11329
Monon Community Center Tammy Moon Hm Ph: (317)569 -1405
Carmel IN 46032 14327 Dove Drive Wk Ph: (317)962 -1091
Carmel IN 46033 Cell Ph: (385)188-1
jeffandtammy @msn.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 41.00
Enrollee Name: Nicole Moon Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103007 -27 Learn to Swim Lvl 2 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/01/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 3 Class Dates: 07/11/2010 to 08/01/2010
Monon Community Cntr 5:05P to 6:OOP
Su
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Advance Request
CANCELLATION Refund Of 42.00
Enrollee Name: Jacob Moon Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103004 -34 Preschool Level 2 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/01/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Ind Leisure 3 Class Dates: 07/11/2010 to 08/01/2010
Monon Community Cntr 5:15P to 6:OOP
Su
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Advance Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/02/10 09:25:40 by ERM FEES CHANGED ON CANCELLED ITEMS 97.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
NEYTJ A [C IITEMSXtr„ 83 Oi)
�T, OTAL�AMOIJNT�REFUND .EDi,„'.'_�'�' �ya:�°��83�00''=
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 83.00 Made By REFUND FINAN With Reference Advance Request js A 1 4 2010 U
Rewards Points refunded on this receipt: 1.40
Household Reward Point Balance: 1.40
7 1Z 11 0 jc%o• /0 L 05 8) 10o 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.
Moon, Tammy Terms
14327 Dove Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
712110 459852 Refund 83.00
Total 83.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No,
Moon, Tammy Allowed 20
14327 Dove Drive
Carmel, IN 46033
In Sum of$
ti
83.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1096 -10 459852 4358400 83.00 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
83.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund