HomeMy WebLinkAbout189019 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364550 Page 1 of 1
ONE CIVIC SQUARE AMY SZENTES
CARMEL, INDIANA 46032 3853 VAIL DR CHECK AMOUNT: $76.00
CARMEL IN 46033
CHECK NUMBER: 189019
CHECK DATE: 8/1812010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 492143 76.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 492143
Payment Date: 08/02/10
Household 15029
Monon Community Center Amy Szentes Hm Ph: (317)587 -1830
Carmel IN 46032 3853 Vail Drive Wk Ph: (317)694 -9403
Carmel IN 46033 Cell Ph:
amy.szentes@att.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 76.00
Enrollee Name: Monica Szentes 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: 06/05/2010 (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 WA
Sa
Carmel IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/02/10 10:46:24 by LVA FEES CHANGED ON CANCELLED ITEMS 76.00
NET AMOUNT FROMI,CANCELLED ITEMS 7b.00=
TOTAL AMOUNTREFUNDED 7,6:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 76.00 Made By REFUND FINAN With Reference low enrollment
All refu ds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue o cash or credit card lefund S.
Authorized Signatu D fe AAuthe Daie
Enjoy your escape at the MCC.
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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.
Szentes, Amy Terms
3853 Vail Drive Date Due
Carmel, IN 46033
invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
812110 492143 Refund 76.00
Total 76.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Szentes, Amy Allowed 20
3853 Vail Drive
Carmel, IN 46033
In Sum of
76.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -42 492143 4358400 76.00 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
76.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund