HomeMy WebLinkAbout188061 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364441 Page 1 of 1
ONE CIVIC SQUARE SHEILA SMILEY
CARMEL, INDIANA 46032 13187 CAMILLO CT CHECK AMOUNT: $83.00
o a WESTFIELD IN 46074 CHECK NUMBER: 188061
CHECK DATE: 7121/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 475301 83.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT T 5 Receipt 475301
Payment Date: 07/15/10
JUL 1 5 2410 Household 27687
Mdnon Community Center BY: Sheila Smiley Hm Ph: (317)344 -2463
Carmel IN 46032 13187 Camillo Ct Wk Ph: (317)218 -0481
Westfield IN 46074 Cell Ph: (317)730-2838
sheilasmiley @sbcglobal.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 41.00
Enrollee Name: Reagan Smiley Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103007 -45 Learn to Swim Lvl 2 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/0712010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 3 Class Dates: 07/20/2010 to 07129/2010
Monon Community Cntr 7:05P to 8:OOP
Tu,Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Advanced Request
CANCELLATION Refund Of 42.00
Enrollee Name: Payton Smiley Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103004 -51 Preschool Level 2 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/07/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Ind Leisure 3 Class Dates: 07/20/2010 to 07/29/2010
Monon Community Cntr 6:15P to 7:OOP
Tu,Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/15/10 10:42:26 b ERM -e
y FEES CHANGED ON CANCELLED ITEMS 97.00-
1 i
JU SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
J UL 1 5 M O l`NETeAMOUNi: FROMfCANCELLEDI.ITEMS'p `3 AA ;83`SOOa'
,TOTALrIAMOUNT�.REFUNDED `a` =.rj: L. 118 1"0 0
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 83.00 Made By REFUND FINAN With Reference Advanced Request
Rewards Points refunded on this receipt: 1.40
Household Reward Point Balance: 40.20
5 10 -10. Y35eCIOD
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.
Smiley, Sheila Terms
13187 Camillo Ct Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7115/10 475301 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 IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
i
Voucher No. Warrant No.
Smiley, Sheila Allowed 20
13187 Camillo Ct
Westfield, IN 46074
In Sum of
83.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1096 -10 475301 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