189527 08/31/2010 "e CITY OF CARMEL, INDIANA VENDOR: 364650 Page 1 of 1
ONE CIVIC SQUARE LESLIE SWATHWOOD
(i Q� CHECK AMOUNT: $7.00
CARMEL, INDIANA 46032 13030 AIRHART BLVD
'c; off gip WESTFIELD IN 46074 CHECK NUMBER: 189527
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 7.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 509817
Payment Date: 08/19/10
Household 34293
Monon Community Center Leslie Swathwood Hm Ph: (317)733 -1984
Carmel IN 46032 13030 Airhart Blvd. Wk Ph: (317)536 -5929
Westfield W 46074 Cell Ph: (317)698 -7833
Iwathwood@juno.com
Phone: (317)848 -7275
;Fed Tax I D #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 7.00
Enrollee Name: Leslie Swathwood 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: 07130/2010 (Enrolled)
Class Location: Dance Studio Class Dates: 08/02/2010 to 08/23/2010
Monon Community Cntr 7:00P to 7:50P
M
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/19/10 13:49:29 by LWW FEES ADJUSTED ON CHANGED ITEMS 7.00
[NET;AMOUNTF. .ROM- CHANGED]TEMS-
TOTALiAMOUNT REFUNDED 7
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 Authorize Signature Date
ENJOY YOUR ESCAPE!!! 09 a D I
AUG Z 3 2010
BY
Page 9 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.
Swathwood, Leslie Terms
13030 Airhart Blvd Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8119/10 509817 Refund 7.00
Total 7.00
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.
Swathwood, Leslie Allowed 20
13030 Airhart Blvd
Westfield, IN 46074
In Sum of
7.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1 096 -22 509817 4358400 7.00 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
Y2, &of YW
Signature
7.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund