189488 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364646 Page 1 of 1
ONE CIVIC SQUARE JOANN RENNER
CARMEL, INDIANA 46032 11809 LANCASTER CIRCLE CHECK AMOUNT: $24.00
CARMEL IN 46033
CHECK NUMBER: 189488
CHECK DATE: 8131/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 24.00 PARKS DEPARTMENT REFU
r,
ACTIVITY REFUND RECEIPT
Receipt 509574
Payment Date: 08/19/10
Household 22293
Monon Community Center Joann Renner Hm Ph: (317)846 -5265
Carmel IN 46032 11809 Lancaster Circle
Carmel IN 46033 Cell Ph:
tomjorenner @sbcgiobal.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 12.00
Enrollee Name: Joann Renner 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: 08/04/2010 (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
CANCELLATION Refund Of 12.00
Enrollee Name: Tom Renner 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: 08/04/2010 (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 09:52:07 by MML FEES CHANGED ON CANCELLED ITEMS 24.00
NET AMOUNT FROM CANCELLED ITEMS 24.00
TOTAL AMOUNT REFUNDED 24.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 24.00 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. ash o credit rd refunds.
Page #1
XA
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.
Renner, Joann Terms
11809 Lancaster Circle Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8119110 509574 Refund 24.00
Total 24.00
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.
Renner, Joann Allowed 20
11809 Lancaster Circle
Carmel, IN 46033
In Sum of
24.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1096 -50 509574 4358400 24.00 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
&jom�w
Signature
24.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund