HomeMy WebLinkAbout189295 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364634 Page 1 of 1
j i ONE CIVIC SQUARE MELANIE CONCUR CHECK AMOUNT: $7.00
CARMEL, INDIANA 46032 11641 ROASEMEAD DRIVE
CARMEL IN 46032 CHECK NUMBER: 189295
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 7.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 509770
Payment Date: 08/19/10
Household 4864
Monon Community Center Melanie Conour Hm Ph: (317)818 -0623
Carmel IN 46032 11641 Rosemeade Dr. Wk Ph: (317)226 -6333
Carmel IN 46032 Cell Ph: (317)695-0771
Phone: (317)848 -7275 walkinglibra@yahoo.com
Fed Tax ID #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 7.00
Enrollee Name: Melanie Conour 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: 08102/2010 (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 13:11:01 by LWW FEES ADJUSTED ON CHANGED ITEMS 7.00
NET AMOUNT'FROM.CHANGED ITEMS 7:00
TOTAL AMOUNT. REFUNDED
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 o credit card refunds.
�1N MOL 8, 2 0 10
Authorized Signature Date *Arized ignature Date
ENJOY YOUR ESCAPE!!!
AUG I e 7p10
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.
Conour, Melanie Terms
11641 Rosemead Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8119110 509770 Refund 7.00
Total I 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.
Conour, Melanie Allowed 20
11641 Rosemead Dr.
Carmel, IN 46032
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 509770 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
LPL a,,
Signature
7.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund