HomeMy WebLinkAbout189344 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: T357566 Page 1 of 1
ONE CIVIC SQUARE EDITH GREIWE CHECK AMOUNT: $12.00
CARMEL, INDIANA 46032 9963 ESTEP DRIVE
INDIANAPOLIS IN 46280
CHECK NUMBER: 189344
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 12.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 509557
Payment Date: 08/19/10
Household 83
Monon Community Center Edith Greiwe Hm Ph: (317)846 -5548
Carmel IN 46032 9963 Estep Dr
Indianapolis IN 46280 Cell Ph:
egreiwe @aol.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 12.00
Enrollee Name: Edith Greiwe Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 107002 -03 Bridge Practice Play 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0411212010 (Cancelled)
Primary Instructor: CCPR Staff
-Class Location: Program Room A Class Dates: 08/18/2010 to 08/1812010
Monon Community Cntr 6 :45P to 8:15P
W
Carmel IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: staff cancellation
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/19/10 09:17:00 by MML FEES CHANGED ON CANCELLED ITEMS 12.00
NET AMOUNT FROM CANCELLED ITEMS 12.00
TOTAL AMOUNT REFUNDED 1100
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 12.00 Made By REFUND FINAN With Reference staff cancellation
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o sh o credit c d refunds. 0
r r D tZ,
Authorized ign ure Date Auth zed Si ature Date
S6.
ENJOY YOUR ESCAPE!!
AUG 2010
BY.........
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.
Greiwe, Edith Terms
9963 Estep Dr Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/19110 509557 Refund 12.00
Total I 12.00
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,
Greiwe, Edith Allowed 20
9963 Estep Dr
Indianapolis, IN 46280
In Sum of
12.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1096 -50 509557 4358400 12.00 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
12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund