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HomeMy WebLinkAbout188583 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364509 Page 1 of 1 ONE CIVIC SQUARE ANNE MARIE WILLIAMS CHECK AMOUNT: $128.00 CARMEL, INDIANA 46032 12344 BARNSTONE CT FISHERS IN 46037 CHECK NUMBER: 188583 CHECK DATE: 8/312010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 480974 128.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 480974 Payment Date: 07/20/10 Household 30610 Monon Community Center Anne Marie Williams Hm Ph: (317)842 -3862 Carmel IN 46032 yq .4.3828- Wabo -q rim _.F46�ers- N Cell Ph: 6( ST"iJC T annemarie.williams@att.net (317)848 -7275 Fed Tax ID #35- 6000972 R�f y( Enrollment Details CANCELLATION Refund Of 128.00 Enrollee Name: Jackson Williams Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -13 Vacation Station 32.00 0.00 32.00 0.00 0.00 Enrollment Date: 03/1212010 (Cancelled) Class Location: Clay Middle School Class Dates: 06/14/2010 to 06/18/2010 Clay Middle School 7:OOA to 6:OOP 5150 East 126th Street M,Tu,W,Th,F Carmel, IN 46033 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: unable to attend tues -fri (due to injury occurred outside of camp) PREVIOUS NET HOUSEHOLD BALANCE 20.00 Processed on 07/20/10 17:07:40 by BJJ FEES CHANGED ON CANCELLED ITEMS 128.00 NET AMOUNT FROM CANCELLED ITEMS 128.00 TOTAL AMOUNT REFUNDED 128.00 NEW NET HOUSEHOLD BALANCE 20.00 Refund of 128.00 Made By R EFUND FINAN With Reference All refund are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A II be issued. N cash or credit card refunds. t oriz ignature Date Authorized Signature Date Enjoy your escape at the MCC. qMYOO I JUL 2 1 2010 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. Williams, Anne Marie Terms 12344 Barnstone Ct Date Due Fishers, IN 46037 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/20/10 480974 Refund 128.00 Total 128.00 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. Williams, Anne Marie Allowed 20 12344 Barnstone Ct Fishers, IN 46037 In Sum of 128.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1082 -1 480974 4358400 128.00 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 128.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund