HomeMy WebLinkAbout188233 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364411 Page 1 of 1
ONE CIVIC SQUARE KRISTEN ATTEBERRY
CHECK AMOUNT: $160.00
CARMEL, INDIANA 46032 5163 CLEAR LAKE CT
CARMEL IN 46033 CHECK NUMBER: 188233
CHECK DATE: 8/3/2010
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1082 4358400 480097 160.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 480097
Payment Date: 07/19/10
Household 23518
Smoky Raw Elementary Kristen Atteberry Hm Ph: (317)816 -9964
900 West 136th Street 5163 Clear Lake Court
Carmel IN 46032 Carmel IN 46033 Cell Ph:
kmdindy@sbcglobal.net
Phone: (317)$48 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 160.00
Enrollee Name: William Atteberry Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number. 476006 -08 Science of Summer 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0511912010 (Cancelled)
Class Location: Carmel Middle School Class Dates: 07119/2010 to 07/23/2010
Carmel Middle School 8:30A to 5:30P
300 S Guilford Rd M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
CANCELLATION
Enrollee Name: William Atteberry Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476006 -09 Science of Summer 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/10/2010 (Cancelled)
Class Location: Carmel Middle School Class Dates: 07/26/2010 to 07/30/2010
Carmel Middle School 8:30A to 5:30P
300 S Guilford Rd M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
CANCELLATION
Enrollee Name: William Atteberry Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476007 -09 Adventures in Art 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/1012010 (Cancelled)
Class Location: Carmel Middle School Class Dates: 07/26/2010 to 07/30120-
Carmel Middle School 8:30A to 5:30P
300 S Guilford Rd M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5 JUL 2 1 2010 `f
(317)848 -7275
BY:
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07119110 13:11:59 by AEB FEES CHANGED ON CANCELLED ITEMS 160.00
NET AMOUNT FROM CANCELLED ITEMS. 160:00
:TOTAL AMOUNT REFUNDED 160.00.1
NEW NET HOUSEHOLD BALANCE 0.00
Page 4 1
ACTIVITY REFUND RECEIPT
Receipt 480097
Payment Date: 07/19/2010
Household 23518
Refund of 160.00 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to proces A check will be
issued. No ash or credit card refunds.
Aut Signature Date Authorized Signature Date
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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.
Atteberry, Kristen Terms
5163 Clear Lake Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/19110 480097 Refund 160.00
Total 160.00
t 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.
Atteberry, Kristen Allowed 20
5163 Clear Lake Court
Carmel, IN 46033
In Sum of$
160.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -5 480097 4358400 160.00 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
`�,�r�,hLM"A-)
Signature
160.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund