HomeMy WebLinkAbout190236 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364732 Page 1 of 1
ONE CIVIC SQUARE CRAIG COOPER CHECK AMOUNT: $55.00
o CARMEL, INDIANA 46032 10779 PUTNAM PLACE
CARMEL IN 46032 CHECK NUMBER: 190236
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 55.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 523342
Payment Date: 09/21/10
Household 12132
Monon Community Center Craig Cooper Hm Ph: (317)496 -1800
Carmel IN 46032 10779 Putnam Place
str 3 101O Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972 Y e
Enrollment Details
CANCELLATION Refund Of 55.00
Enrollee Name: Collin Cooper Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476009 -05 Skyhawks Sports 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0 310 512 01 0 (Cancelled)
Class Location: Creekside Middle Sch Class Dates: 06/07/2010 to 06/11/2010
Creekside Middle Sch 9:OOA to 10: DOA
3525 W. 126th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: unable to attend due to illness
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/21/10 16:21:59 by BJJ FEES CHANGED ON CANCELLED ITEMS 55.00
NET AMOUNT FROM- CANCELLED�ITEMS
TOTAL AMOUNVREFUNDED, 7 `55:00 V
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 55.00 Made By REFUND FINAN With Reference
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, 1 rP
Au on ignature Date Authorized Signature Date
The Monon Community Center is a one -stop shop! Why drive all day searching for your local garage sale? Come to our
Community Garage Sale and leisurely browse through all sorts of items. The Community Garage Sale will take place Saturday,
October 9 from 1 Oam -4pm at the MCC East Parking Lot. The event is free to the public.
Vendors: The fee for vendors is $5 /parking space. You must bring a table /chair. A limited number of tables and chairs will be
available at an additional cost of $5 each. In case of inclement weather, this event will be cancelled. To register, please
contact Sarah or fax your form to 317.573.5243.
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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, number of units, price per unit, etc.
Payee
Purchase Order No.
Cooper, Craig Terms
10779 Putnam Place Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9121110 523342 Refund 55.00
Total 55.00
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,
Cooper, Craig Allowed 20
10779 Putnam Place
Carmel, IN 46032
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -98 523342 4358400 55.00 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
27 -Sep 2010
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund