Press Alt + R to read the document text or Alt + P to download or print.

No preview available

The URL can be used to link to this page

Home My WebLink About188034 07/21/2010 CITY Of CARMEL, INDIANA VENDOR: 364436 Page 1 of 1 0 a`I ONE CIVIC SQUARE RYAN RIVERA CARMEL, INDIANA 46032 420 LARK COURT, APT 8 CHECK AMOUNT: $320.00 CARMEL IN 46032 CHECK NUMBER: 188034 CHECK DATE: 7/2112010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 457959 320.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 457959 Payment Date: 06/30/10 Household 20646 Forest Dale Elementa Ryan Rivera Hm Ph: (317)752 -5022 10721 Lakeshore Dr. West Wk Ph: (317)575 -3651 Carmel IN 46033 Carmel W 46032 Cell Ph: (317)752 -5022 Phone: (317)848 -7275 djrivdawg26 @yahoo.com Fed Tax ID #35- 6000972 jn► Enrollment Details CANCELLATION Refund Of 80.00 Enrollee Name: Gwendolynn Rivera 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: 03/15/2010 (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 Cancel Reason: can no longer attend because employee discount no longer applies. CANCELLATION Refund Of 80.00 Enrollee Name: Gwendolynn Rivera 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: 03/15/2010 (Cancelled) Class Location: Clay Middle School Class Dates: 07/12/2010 to 07/16/2010 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 Cancel Reason: can no longer attend because employee discount no longer applies. CANCELLATION Refund Of 80.00 Enrollee Name: Gwendolynn Rivera Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number 476001 -18 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 03/1512010 (Cancelled) Class Location: Clay Middle School Class Dates: 07/19/2010 to 07/23/2010 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 Cancel Reason: can no longer attend because employee discount no longer applies. CANCELLATION Refund Of 80.00 Enrollee Name. Gwendolynn Rivera Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -19 Vacation Station 0.00 0.00 0.00 0.00 0.00 E=nrollment Date: 03/1512010 (Cancelled) Page 1 ACTIVITY REFUND RECEIPT Receipt 457959 Payment Date: 06/30/2010 Household 20646 Class Location: Clay Middle School Class Dates: 07/26/2010 to 07/30/2010 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 Cancel Reason. can no longer attend because employee discount no longer applies. PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 06/30/10 11:21:19 by VJS FEES CHANGED ON CANCELLED ITEMS 320.00 NET AMOUNT CANCELLED ITEMS: 320:00 TOTAL AMOUNT REFUNDED 320OQ NEW NET HOUSEHOLD BALANCE 0.00 Refund of 320.00 Made By REFUND FINAN With Reference rJ All refund are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. N cash or credit card refunds. L -4- 0 uthori d Signature Date Authorized Signature Date 70 P i� J 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. Rivera, Ryan Terms 420 Lark Court, Apt B Date Due r. Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6130110 457959 Refund 320.00 Total 320.00 i hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 6- 11- 10 -1.6 20, Clerk- Treasurer Voucher No. Warrant No. Rivera, Ryan Allowed 20 420 Lark Court, Apt B Carmel, IN 46032 In Sum of 320.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1082 -1 457959 4358400 320.00 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 320.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund