HomeMy WebLinkAbout188007 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364434 Page 1 of 1
ONE CIVIC SQUARE ARUNA PITLA
CARMEL, INDIANA 46032 12786 TUSCANY BLVD CHECK AMOUNT: $48.00
CARMEL IN 46032 CHECK NUMBER: 188007
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 475207 48.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 475207
Payment Date: 07/15/10
lei 77 7 71 Household 26236
JUL 1 5 1010 b
Monon Community Center Aruna Pitla Hm Ph: (317)733 -0344
Carmel IN 46032 BY: 12786 Tuscany Blvd Wk Ph: (317)
Carmel IN 46032 Cell Ph:
arunapitla @yahoo.com
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 48.00
Enrollee Name: Sanjana Patharla Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103006 -38 Learn to Swim Lvl 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/0812010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 2 Class Dates: 08/07/2010 to 08/28/2010
Monon Community Cntr 9:05A to 10:00A
Sa
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/15/10 10:37:03 by ERM t FEES CHANGED ON CANCELLED ITEMS 55.00
1
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
J UL 5 10 10 ETETOAMOUNTVFROMICANCELLEDJITEMS
TOTAL AMOUNTdREFUNDED,� r 44
BY:
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 48.00 Made By REFUND FINAN With Reference Advanced Request
Rewards Points refunded on this receipt: 0.70
Household Reward Point Balance: 18.20
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.
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Enjoy your escape at the MCC.
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.
Pitla, Aruna Terms
12786 Tuscany Blvd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
48.00
7115110 475207 Refund
Total 48.00
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.
Pitla, Aruna Allowed 20
12786 Tuscany Blvd
Carmel, IN 46032 In Sum of
48.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1096 -10 475207 4358400 48.00 I 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
48.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund