HomeMy WebLinkAbout188443 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364502 Page 1 of 1
o ONE CIVIC SQUARE KAREN MOORE CHECK AMOUNT: $64.00
CARMEL, INDIANA 46032 10126 ORCHARD PARK DR WEST
INDIANAPOLIS IN 46280 CHECK NUMBER: 188443
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 486684 64.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 486684
Payment Date: 07/26/10
Household 36274
lonon Community Center Karen Moore Hm Ph: (317)697 -5487
armel IN 46032 10126 Orchard Park Dr. West Wk Ph: (317)
Indianapolis IN 46280 Cell Ph:
kmoore @vectren.com
hone: (317)848 -7275
ed Tax ID #35- 6000972
Arollment Details
CANCELLATION Refund Of 32.00
Enrollee Name: Karen Moore Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 108124 -02 Intro TO Yoga 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0711212010 (Cancelled)
Class Location: Fitness Studio B Class Dates: 08/04/2010 to 08/25/2010
Monon Community Cntr 4:30P to 5:20P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
CANCELLATION Refund Of 32.00
Enrollee Name: Brooke Moore Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 108124 -02 Intro To Yoga 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0711212010 (Cancelled)
Class Location: Fitness Studio B Class Dates: 08/04/2010 to 08/25/2010
Monon Community Cntr 4:30P to 5:20P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/26/10 15 :57:19 by BNT FEES CHANGED ON CANCELLED ITEMS 64.00
NET AMOUNT FROM CANCELLED 1TEMS 64.00
TOTAL AMOUNT REFUNDED 64.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 64.00 Made By REFUND FINAN With Reference tow enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
sued. No c ash or credit card refunds.
Authorized Signatu Date Korized Signature Date
\j Ac q Sa) ONZ Page 1
ACTIVITY REFUND RECEIPT
Receipt 486684
Payment Date: 07/26/2010
Household 36274
Enjoy your escape at the MCC.
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.
Moore, Karen Terms
10126 Orchard Park Dr West Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7126110 486684 Refund 64.00
Total 1 64.00
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
.20
Clerk- Treasurer
Voucher No. Warrant No.
Moore, Karen Allowed 20
10126 Orchard Park Dr West
Indianapolis, IN 46280
In Sum of
64.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -70 486684 4358400 64.00 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
64.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund