HomeMy WebLinkAbout189560 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364652 Page 1 of 1
ONE CIVIC SQUARE MAKR VOLBRECHT
CARMEL, INDIANA 46032 5184 CARRINGTON CIRCLE CHECK AMOUNT: $14.00
CARMEL IN 46033 CHECK NUMBER: 189560
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 14.00 PARKS DEPARTMENT REFU
r.
ACTIVITY REFUND RECEIPT
Receipt 509815
Payment Date: 08/19/10
Househoid 13277
Monon Community Center Mark Vollbrecht Hm Ph: (317)843 -1197
Carmel IN 46032 5184 Carrington Circle Wk Ph: (317)
Carmel IN 46033 Cell Ph: (317)
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 7.00
Enrollee Name: Judy Vollbrecht Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 104201 -09 Zurnba 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 08/23/2010
Monon Community Cntr 7:OOP to 7:50P
M
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/19/10 13.41:42 by LWW FEES ADJUSTED ON CHANGED ITEMS 7.00-
NET AMOUNT, FROM:CHANGED'ITEMS 7:00'
TOTAL AMOUNT REFUNDED _T'00'= 1
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 or credit card refunds.
Authorized Signature Date v thorizo Signature Date
ENJOY YOUR ESCAPE!!! gyp M Ril
oq (o, 22 "T Sg 'QI® AUG 7010
Page 1
ACTIVITY REFUND RECEIPT
Receipt 509816
Payment Date: 08/19/10
Household 13277
Monon Community Center Mark Vollbrecht Hm Ph: (317)843 -1197
Carmel IN 46032 5184 Carrington Circle Wk Ph: (317)
Carmel IN 46033 Cell Ph: (317)
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 7.00
Enrollee Name: Jessica Smith 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: 08/02/2010 (Enrolled)
Class location: Dance Studio Class Dates: 08/02/2010 to 08/23/2010
Monon Community Cntr 7:OOP to 7:50P
M
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/19/10 13:47:46 by LWW FEES ADJUSTED ON CHANGED ITEMS 7,00
NET-AMOUNT FROM CHANGED;ITEMS(_
TOTAL,AMOUNT REFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 7.00 Made By REFUND FINAN With Reference Class cancelled 8/30
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.
492010
Authorized Signature Date A re Dale
ENJOY YOUR ESCAPE!!!
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 Orden No.
Volbrecht, Mark Terms
5184 Carrington Circle Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8119110 509815 Refund 7.00
8119110 509816 Refund 7.00
Total 14.00
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.
Volbrecht, Mark Allowed 20
5184 Carrington Circle
Carmel, IN 46033
In Sum of
14.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE ISO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 509815 4358400 7.00 1 hereby certify that the attached invoice(s), or
1096 -22 509816 4358400 7.00 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
14.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund