HomeMy WebLinkAbout188905 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364540 Page 1 of 1
b ONE CIVIC SQUARE SUKANTA MAJUMDAR
CARMEL, INDIANA 46032 3961 ROWLETT PLACE CHECK AMOUNT: $38.00
'e WESTFIELD IN 46074
CHECK NUMBER: 188905
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 489289 38.00 REFUNDS AWARDS INDE
k,
ACTIVITY REFUND RECEIPT
Receipt 489289
Payment Date: 07/29/10
Household 19636
Monon Community Center Sukanta Majumdar Hm Ph: (317)733 -1899
Carmel IN 46032 3961 Rowlett Place
Westfield IN 46074 Cell Ph:
sukanta.majumdar@gmaii.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 38.00
Enrollee Name: Aditeya Majumdar Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 106319 -02 Rock Solid Boot Camp 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/26/2010 (Cancelled)
Primary Instructor: Tumble Time
Class Location. Gymnasium B Class Dates: 07/24/2010 to 08/2812010
Monon Community Cntr 12:15P to 1:OOP
Sa
Carmel IN 46032 Scheduled Sessions: 6
(317)848 -7275
Skip Days 07/03/2010
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07!29/10 13:14:13 by LVA FEES CHANGED ON CANCELLED ITEMS 38.00
NET AMOUNT FROM CANCELLED =ITEMS 38.00-
TOTAL AMOUNT REFUNDED: 38.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 38.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take weeks to process. A check will be
issued no cash or credit card refunds.
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Authorized Signa� r Date "rz "Sig ture Dhte
Enjoy your escape at the MCC.
Low 4EnyC1( AUG u 4 2010
Page 1
ACCOUNTS PAYABLE VOUCHER
s 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.
Majumdar, Sukanta Terms
3961 Rowlett Place Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7129/10 489289 Refund 38.00
Total 38.00
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
fi
Voucher No. Warrant No.
Majumdar, Sukanta Allowed 20
3961 Rowlett Place
Westfield, IN 46074
In Sum of
38.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #f'rITLE AMOUNT Board Members
Dept
1096 -42 489289 4358400 38.00 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
38.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund