HomeMy WebLinkAbout188232 08/03/2010 �R CITY OF CARMEL, INDIANA VENDOR: 364491 Page 1 of 1
0 ONE CIVIC SQUARE RONA ASH
CARMEL, INDIANA 46032 2775 BARBANO CT CHECK AMOUNT: $30.00
WESTFIELD IN 46074
CHECK NUMBER: 188232
CHECK DATE: 8/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 477017 30.00 REFUNDS AWARDS 1NDE
ACTIVITY REFUND RECEIPT
Receipt 477017
Payment Date: 07/16/10
Household 6005
Monon Community Center Rona Ash Hm Ph: (317)873 -9961
Carmel IN 46032 2775 Barbano Ct. Wk Ph: (317)
Westfield IN 46074 Cell Ph:(317)670 -9078
rona_ash @merck.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 30.00
Enrollee Name: Rona Ash Eees +Tax Discount Prey Paid Cur Paid AMgunt Due
Activity Number: 107247 -01 You're On The Air 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0411512010 (Cancelled)
Primary Instructor. Such A Voice
Class Location: Meeting Room Class Dates. 07/15/2010 to 07/15/2010
Monon Community Cntr 7:00P to 9:OOP
Th
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: date change
PREVIOUS NET HOUSEHOLD BALANCE 95.00
Processed on 07/16110 09:30:20 by CNA FEES CHANGED ON CANCELLED ITEMS 30.00
NET AMOUNT FROM CANCELLED ITEMS 3D.00-
TOTAL AMOUNT REFUNDEQ 30.00 V
NEW NET HOUSEHOLD BALANCE 95.00
Refund of 30.00 Made By REFUND FINAN With Reference date change
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.
&04 avul�— L01 I J W 7/1 1P t o
Authorized Signature Date i ed Signature Date
Enjoy your escape at the MCC.
b, q W .hex
JUL 19 2010
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.
Terms
Ash, Rona
2775 Barbano Ct Date Due
Westfield, IN 46074
Invoice invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
30.00
7/16110 477017 Refund
Total 30.00
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 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No,
Ash, Rona Allowed 20
2775 Barbano Ct
Westfield, IN 46074
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1096 -50 477017 4358400 30.00 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
29 -Jul 2010
A4111JIIr1I
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund