HomeMy WebLinkAbout188513 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364505 Page 'I of 1
ONE CIVIC SQUARE CAROL SHANK
CARMEL, INDIANA 46032 9525 N DELAWARE ST CHECK AMOUNT: $30.40
6,. o INDIANAPOLIS IN 46240 CHECK NUMBER: 188513
CHECK DATE: 8/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 481295 30.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 481295
Payment Date: 07/21/10
Household 34687
Monon Community Center Carol Shank Hm Ph: (317)809 -2648
Carmel IN 46032 9525 N. Delaware St.
Indianapolis IN 46240 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 30.00
Enrollee Name: William Shank Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number. 107247 -01 You're On The Air 0.00 0.00 0.00 0.00 0.00
Enrotiment Date: 05102/2010 (Cancelled)
Primary Instructor Such A Voice
Class Location: Meeting Room Class Dates: 07/15/2010 to 07/15/2010
Monon Community Cntr 7 :00P to 9:OOP
Th
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: changed date
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/21/10 13:06:31 by CNA FEES CHANGED ON CANCELLED ITEMS 30.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 30.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By REFUND FINAN With Reference changed date
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.
640 "o, /10
Autho zed Signature Date Authorized Signature Date
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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.
Shank,,Carol Terms
9525 N Delaware St. Date Due
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7121110 481295 Refund 30.00
Total 30.00
I hereby certify that the attached invoice(s), or biN(s) (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
Shank, Carol Allowed 20
9525 N Delaware St.
_•Indianapolis, IN 46240
in Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 481295 4358400 30.00 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
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund