HomeMy WebLinkAbout190040 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364705 Page 1 of 1
ONE CIVIC SQUARE YUN WANG
s 0 CHECK AMOUNT: $53.00
CARMEL, INDIANA 46032 3565 GREEN BRIER BLVD APT 71C
'ti� Vi a` ANN ARBOR MI 48105 CHECK NUMBER: 190040
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 53.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 517574
Payment Date: 09/08/10
Household 34784
Monon Community Center a Yun Wang Hm Ph: (517)896 -9371
Carmel W 46032 3565 GreenBrier Blvd APT 71 C
0 201 Ann Arbor MI 48105 Cell Ph: (517)896-9371
kateyun2@yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972 BY: „e
Enrollment Details
CANCELLATION Refund Of 53.00
Enrollee Name: Emma Zhang Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 206478 -01 SkyhawkS Soccer 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 08127/2010 (Cancelled)
Primary Instructor: SkyhaWks
Class Location: West Park Field 2 Class Dates: 09/14/2010 to 10/19/2010
West Park 4:OOP to 5:OOP
2700 W. 116th St. Tu
Carmel, IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/08/10 08:52:42 by LVA FEES CHANGED ON CANCELLED ITEMS 60.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 7.00
NET AMOUNT FROM CANCELLED1TEMS 53.00-
TOTAL` AMOUNT REFUNDED 53.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 53.00 Made By REFUND FINAN With Reference advanced request
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss No cash or credit card refunds.
�l0 9L A
Authorize Si nature Date Aut or ed Sig cure ate
Don't forget to register for St.Vincent Tour de Carmel taking place on Saturday, September 11. Visit
www.carmelclayparks.com for more information or https: /rec.themononcenter.com/ to register!
If you have already registered for the event, you may pick up your goodie bag at the MCC East Building on September 7 from
5 -8pm, September 8 from 9am -1 pm, or September 9 from 5 -8pm.
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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, numbeCof units, price per unit, etc.
Payee
Purchase Order No.
Wang, Yun Terms
3565 GreenBrier Blvd Apt 71C Date Due
Ann Arbor, MI 48105
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
918!10 517574 Refund 53.00
Total 53.00
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.
Wang, Yun Allowed 20
3565 Green Brier Blvd Apt 71C
Ann Arbor, MI 48105
In Sum of
53.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1096 -42 517574 4358400 53.00 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
9 -Sep 2010
Signature
53.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund