HomeMy WebLinkAbout189407 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364639 Page 1 of 1
ONE CIVIC SQUARE BILL KOPEK CHECK AMOUNT: $12.00
CARMEL, INDIANA 46032 1415 MONON FARMS LANE
'tiy oN `Q. CARMEL IN 46032 CHECK NUMBER: 189407
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRI
1096 4358400 12.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 509572
Payment Date: 08/19/10
Household 4677
Monon Community Center Bill Kopek Hm Ph: (317)574 -0515
Carmel IN 46032 11415 Monon Farms Lane
Carmel IN 46032 Cell Ph:
billkopek @earthlink.net
Phone: (317)848 -7275
-.red Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 12.00
Enrollee Name: Pat Kopek Fees Tax Discount Prev Pai Cur Paid Amount Due
Activity Number: 107002 -03 Bridge Practice Play 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0410212010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room A Class Dates: 08/18/2010 to 08/18/2010
Monon Community Cntr 6:45P to 8:15P
W
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: staff sick
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/19/10 09:43:25 by MML FEES CHANGED ON CANCELLED ITEMS 12.00
NET AMOUNT FROM CANCELLED ITEMS 12.00
TOTAL AMOUNT REFUNDED 12.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 12.00 Made By REFUND FINAN With Reference staff sick
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 or credit card refunds.
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ENJOY YOUR ESCAPE!!! 9
AUG 1 9 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.
Kopek, Bill Terms
11415 Monon Farms Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/19/10 509572 Refund 12.00
Total 12.00
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.
Kopek, Bill Allowed 20
11415 Monon Farms Lane
Carmel, IN 46032
In Sum of
12.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members
Dept
1096 -50 509572 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 -A ,wiy 2010
Signature
12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund