HomeMy WebLinkAbout190221 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364730 Page 1 of 1
ONE CIVIC SQUARE DARREN CHANG
CARMEL, INDIANA 46032 3932 LONG RIDGE BLVD CHECK AMOUNT: $94.00
WESTFIELD IN 46074 CHECK NUMBER: 190221
CHECK DATE: 9129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 94.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 523690
Payment Date: 09/23/10
Household 37705
Monon Community Center Darren Chang Hm Ph: (317)344 -2288
Carmel IN 46032 3932 Long Ridge Blvd. Wk Ph: (317)
Westfield IN 46074 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 47.00
Enrollee Name: Darren Chang Fees Tax Di §gount Prev Paid Cur Paid Amount Due
Activity Number: 207600 -01 The MCC Fall Open 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/21/2010 (Cancelled)
Class Location: Gymnasium A Class Dates: 09/25/2010 to 09/25/2010
Monon Community Cntr 8:OOA to 6:OOP
Sa
Carmel IN 46032 Scheduled Sessions: 1
(317)848 -7275
CANCELLATION Refund Of 47.00
Enrollee Name: Vincent Chang Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 207600 -01 The MCC Fall Open 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/21/2010 (Cancelled)
Class Location: Gymnasium A Class Dates: 09/25/2010 to 09/25/2010
Monon Community Cntr 8:OOA to 6:OOP
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/23110 10:47:49 by MML FEES CHANGED ON CANCELLED ITEMS 94.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 94.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 94.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. a cash or credit card refunds.
2 3. i, Q
WutAcriz6d Signature 11ate A rized gnature rE�r
19
`�S�tad SEH 27' 2010
BY: .....................Rage 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.
Chang, Darren Terms
3932 Long Ridge Blvd. Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9123190 523690 Refund 94.00
I
Total 94.00
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- 16 -1.6
20�
Clerk Treasurer
Voucher No. Warrant No.
Chang, Darren Allowed 20
3932 Long Ridge Blvd.
Westfield, IN 46074
In Sum of
94.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 523690 4358400 94.00 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
i
Signature
94.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund