HomeMy WebLinkAbout188846 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364536 Page 1 of 1
ONE CIVIC SQUARE JODY HOOK
CARMEL, INDIANA 46032 4377 BRECKENRIDGE CT CHECK AMOUNT: $152.00
CARMEL IN 46033 CHECK NUMBER: 188846
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1096 4358400 488965 152.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 488965
'7 Payment Date: 07/29/10
L Household 454
Monon Community Center Jody Hook Hm Ph: (317)844 -4075
Carmel IN 46032 ........aa,..e 4377 Breckenridge Ct.
Carmel IN 46033 Cell Ph: (317)440 -5819
mjjmdhook@aol.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 76.00
Enrollee Name: Anna Hook Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 106456 -02 Jump! Acrobatic Rope 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/06/2010 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Gymnasium B Class Dates: 07/24/2010 to 08/28/2010
Morton Community Cntr 10:OOA to 11:OOA
Sa
Carmel, IN 46032 Scheduled Sessions 6
(317)848 -7275
Cancel Reason: low enrollment
CANCELLATION Refund Of 76.00
Enrollee Name: Katy Hook Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 106456 -02 Jump! Acrobatic Rope 0.00 0.00 0.00 0.00 0.00
Enrollment Date. 04/06/2010 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Gymnasium B Class Dates: 07/24/2010 to 08/28/2010
Monon Community Cntr 10:OOA to 11:OOA
Sa
Carmel, IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/29/10 09:44:42 by LVA FEES CHANGED ON CANCELLED ITEMS 152.00
NET AMOUNT FROM CANCELLED ITEMS 152.00=
TOTAL AMOUNT REFUNDED 152.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 152.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may to e 4 -6 w ek to process. A check will be
issue No cash or credit card refunds.
o (o Page 1
Lai ro Y
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.
Hook, Jody Terms
4377 Breckenridge Ct. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7129110 488965 Refund 152.00
Total Is 152.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No,
Hook, Jody Allowed 20
4377 Breckenridge Ct.
Carmel, IN 46033
In Sum of
152.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 42 488965 4358400 152.00 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
12 -Aug 2010
Signature
152.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund