HomeMy WebLinkAbout189083 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364557 Page 1 of 1
ONE CIVIC SQUARE MING YAN CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 13766 LAREDO DR
CARMEL IN 46032 CHECK NUMBER: 189083
CHECK DATE: 8/1812010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 490112 35.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 490112
Payment Date: 07/30/10
Household 8969
Monon Community Center Ming Yan Hm Ph: (317)848 -6255
Carmel IN 46032 13766 Laredo Dr.
Carmel IN 46032 Cell Ph:
ming_yanli @hotmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Vivien Li Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103003 -45 Preschool Level 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/04/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Ind Lesiure 2 Class Dates: 08/08/2010 to 08/29/2010
Monon Community Cntr 4:15P to 5:OOP
Su
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 7275
Cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/30/10 11:14:13 by ERM FEES CHANGED ON CANCELLED ITEMS 42.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
r"i W
NET:AMOUNT F,ROM.`CANCELLED ITEMS
2010
F1� s� U ToTAL'`'AMOUNT;REF1NDEd 3500
]Bly'� NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference Advanced Request
Rewards Points refunded on this receipt: 0.70
Household Reward Point Balance: 29.50
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.
Authorized Signature p Date Authorized Signature Date
/O Y tP I l 0 q �U 1 oo
Enjoy your escape at the MCC.
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.
Yan, Ming Terms
13766 Laredo Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7130110 490112 Refund 35.00
Total 35.00
I 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.
Yan, Ming Allowed 20
13766 Laredo Dr
Carmel, IN 46032
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 490112 4358400 35.00 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
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund