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.
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Authorized Signature Date A orized Anature Date
ENJOY YOUR ESCAPE!!!
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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
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