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HomeMy WebLinkAbout189494 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364648 Page 1 of 1 ONE CIVIC SQUARE MELISSA ROBERTS CARMEL, INDIANA 46032 12753 BRISTOW LANE CHECK AMOUNT: $91.00 FISHERS IN 46037 CHECK NUMBER: 189494 CHECK DATE: 8/31/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 91.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 467730 Payment Date: 07/09/10 Household 34651 Morton Community Center Melissa Roberts Hm Ph: (317)501 -4136 Carmel IN 46032 12753 Bristow Lane Fishers IN 46037 Cell Ph: melissa.daniels @gmail.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 91.00 Enrollee Name: Melissa Roberts Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 107197 -01 Pottery 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/29/2010 (Cancelled) Primary Instructor: Jeremy South Class Location: Art Studio Class Dates: 07/15/2010 to 07/29/2010 Monon Community Cntr 6:15P to 9:15P Th Carmel, IN 46032 Scheduled Sessions: 3 (317)848 -7275 Cancel Reason: advanced request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 07/09/10 07:39:29 by MML FEES CHANGED ON CANCELLED ITEMS 98.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00 NET AMOUNT FROM CANCELLED ITEMS 91.00 TOTAL AMOUNT REFUNDED 91.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 91.00 Made By REFUND FINAN With Reference advanced request All refunds s jec St Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. N h r it c d refunds. Au ize na re Date Auth6rized Signature Date ti. 1010 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. Roberts, Melissa Terms 12753 Bristow Lane Date Due Fishers, IN 46037 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 719110 467730 Refund 91.00 Total 91.00 I 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Roberts, Melissa Allowed 20 12753 Bristow Lane Fishers, IN 46037 In Sum of 91.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -50 467730 4358400 91.00 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 91.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund