HomeMy WebLinkAbout188330 08/03/2010 a CITY OF CARMEL, INDIANA VENDOR: 364498 Page 1 of 1
ONE CIVIC SQUARE CANDIS GASKILL
0 a CARMEL, INDIANA 46032 16969 BRIGG CT CHECK AMOUNT: $35.00
WESTFIELD IN 46074
CHECK NUMBER: 188330
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 482495 35.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 482495
Payment Date: 07/23/10
Household 32627
Monon Community Center Candis Gaskill Hm Ph: (317)399 -8083
Carmel IN 46032 16969 Brigg Ct.
Westfield IN 46074 Cell Ph:
Phone: (317)848 -7275
.:Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Davis Gaskill Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103003 -49 Preschool Level 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 0610812010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Ind Lesiure 2 Class Dates: 08/03/2010 to 08/24/2010
Monon Community Cntr 4:15P to 5:OOP
Tu
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/23/10 10:17:19 by ERM FEES CHANGED ON CANCELLED ITEMS 42.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED ITEMS 35.00
TOTAL AMOUNT REFUNDED 35.00 r'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference
Rewards Points refunded on this receipt: 0.70
Household Reward Point Balance: 4.90
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.
Authorized Signature 6ate Authorized Signature Date
/0 Gov
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,
Gaskill, Candis Terms
16969 Brigg Ct Date Due
Westfield, IN 46074
Invoice In
Description
pate Number (or note attached invoice(s) or bill(s)) Amount
7123110 482495 Refund 35.00
Total 35-00
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.
Gaskill, Candis Allowed 20
16969 Brigg Ct
Westfield, IN 46074
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept
1096 -10 482495 4358400 35.00 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
Signature
35,00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund