HomeMy WebLinkAbout188511 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364504 Page 1 of 1
0 ONE CIVIC SQUARE JENNIFER SELL
4
CARMEL, INDIANA 46032 7306IRVINGTON CHECK AMOUNT: $99.00
'r INDIANAPOLIS IN 46250
CHECK NUMBER: 188511
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 481658 99.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 481658
Payment Date: 07/21/10
Household 23921
Monon Community Center Jennifer Sell Hm Ph: (317)585 -8814
Carmel IN 46032 7306 Irvington
Indianapolis IN 46250 Cell Ph: (317)445-2702
Phone: (317)848 -7275 jensell.arc@gmail.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 99.00
Enrollee Name: Jessica Sell Fees Tax Discount Prev Paid r Pai Amount Due
Activity Number: 476009 -29 Skyhawks Sports 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/02/2010 (Cancelled)
Class Location: Creekside Middle Sch Class Dates: 07/26/2010 to 07/30/2010
Creekside Middle Sch 9:OOA to 12:OOP
3525 W. 126th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: unable to attend due to illness
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/21 /10 16:01:12 by Bij FEES CHANGED ON CANCELLED ITEMS 99.00
NET AMOUNT FROM CANCELLED ITEMS 99:00
TOTAL AMOUNT REFUNDED, 99.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 99.00 Made By REFUND FINAN With Reference
All ref ds 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.
V -10
A rued Signature Date Authorized Signature Date
Enjoy your escape at the MCC.
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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.
Sell, Jennifer Terms
7306 Irvington Date Due
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7121/10 481658 Refund 99.00
Total 99.00
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.
Sell, Jennifer Allowed 20
7306 Irvington
Indianapolis, IN 46250
In Sum of
99.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -98 481658 4358400 99.00 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
V ;/Mo
Signature
99.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund