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HomeMy WebLinkAbout189306 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364632 Page 1 of 1 ONE CIVIC SQUARE ALLEN DANUCH is O i 9543 CARLYLE COURT #G CHECK AMOUNT: $7.00 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46240 CHECK NUMBER: 189306 CHECK DATE: 8/31/2010 DEPARTMENTz ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 7.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt# 509780 r Payment Date: 08/19/10 Household 34712 Monon Community Center Danuch Allen Hm Ph: (317)777 -0423 Carmel IN 46032 9543 Carlyle Ct. #G Indianapolis IN 46240 Cell Ph: Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details ROSTER CHANGE Refund Of 7.00 Enrollee Name: Danuch Allen Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 104201 -09 Zumba 28.00 0.00 28.00 0.00 0.00 Enrollment Date: 08/0212010 (Enrolled) Class Location: Dance Studio Class Dates: 08/02/2010 to 08/30/2010 Monon Community Cntr 7-OOP to 7:50P M Carmel IN 46032 Scheduled Sessions. 5 (317)848 7275 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 08/19/10 13:16:27 by LWW FEES ADJUSTED ON CHANGED ITEMS 7.00 NET =AMOUNT. FROM sC HANG ED=ITEMS 7:00' TOTAL _AMOUNT REFUNDED" ?-.7;00' NEW NET HOUSEHOLD BALANCE 0.00 Refund of 7.00 Made By REFUND FINAN With Reference Class cancelled 8130 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 n or credit card refunds. VV il.0-�,C- B. Za. lo Authorized Signature Date A orized Anature Date ENJOY YOUR ESCAPE!!! i 09 22. 4 35 94C)O AUG 2 3 2010 BY........ Page 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice o, 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. Allen, Danuch Terms 9543 Carlyle Ct. G Date Due Indianapolis, IN 46240 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8119110 509780 Refund 7.00 Total 7.00 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. Allen, Danuch Allowed 20 9543 Carlyle Ct. G "Indianapolis, IN 46240 In Sum of$ 7.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -22 509780 4358400 7.00 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 26 -Aug 2010 Signature 7.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i i ..h�