189017 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364549 Page 1 of 1
ONE CIVIC SQUARE CHRISTOPHER SWISHER
O 6548 BRAEMAR AVENUE, NORTH CHECK AMOUNT: $118.00
CARMEL, INDIANA 46032
4 off io NOBLESVILLE IN 46062 CHECK NUMBER: 189017
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 501753 118.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 501753
Payment Date: 08/10/10
Household 35648
Morton Community Center Christopher Swisher Hm Ph: (317)776 -8979
Carmel IN 46032 6548 Braemar Avenue, North
Noblesville IN 46062 Cell Ph:
kelseyanne74@yahoo.com
Phone: (317)848 -7275
Fed 'fax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 118.00
Enrollee Name: Tanner Swisher Fees +Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 205007 -01 Lil' Kicker -Jack R 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 08/0212010 (Cancelled)
Class Location: Inlow Park Field Class Dates: 09/1612010 to 11/18/2010
Inlow Park 12:30P to 1:20P
6310 E. 131 st Street Th
Carmel, IN 46032 Scheduled Sessioru: 10
(317)848 -7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08110/10 11:56:43 by CNA FEES CHANGED ON CANCELLED ITEMS 125.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
'NET AMOUNT FROM CANCELLED ITEMS t18.04-
TOTAL AMOUNT REFUNDED 118.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 118.00 Made By REFUND FINAN With Reference adv arced request
All refunds are subject to Stale Board of Accounts claim procedure and may take 4-6 weeks to process. A check will be
issued. No cash or credit card refunds. p 0 t�
0 ?ll 14.
Autl4orized Signature Date Auth ed Signa re Date
ENJOY YOUR ESCAPE!
10gU.
advanced req Gees 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.
Swisher, Christopher Terms
6548 Braemar Avenue, North Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
8110110 501753 Refund 118.00
W Totall$. 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.
Swisher, Christopher Allowed 20
6548 Braemar Avenue, North
Noblesville, IN 46062
In Sum of
118.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #1TITL AMOUNT Board Members
Dept
1096 -32 501753 4358400 118.00 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
118.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund