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HomeMy WebLinkAbout190281 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364736 Page 1 of 1
ONE CIVIC SQUARE JOHN GRIMLEY
CARMEL, INDIANA 46032 605 KENWOOD AVE CHECK AMOUNT: $47.00
a; »L O DAYTON OH 45406 CHECK NUMBER: 190281
CHECK DATE: 9129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 47.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 523693
Payment Date: 09/23/10
Household 37325
Monon Community Center John Grimley Hm Ph: (937)275 -1937
Carmel IN 46032 605 Kenwood Ave.
Dayton OH 45406 Cell Ph:
jog5978@juno.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 47.00
Enrollee Name: John Grimley 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: 08/31/2010 (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 09/23/10 Q 10:53:01 by MML FEES CHANGED ON CANCELLED ITEMS 47.00
NET AMOUNT FROM CANCELLED ITEMS 47.00
TOTAL AMOUNT REFUNDED 47.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 47.00 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. No cash or credit card refunds.
Authorized Signature Date Auth e\ a re Date
►og6. 59Y66
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 10am -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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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.
Grimley, John Terms.
605 Kenwood Ave. Date Due
Dayton, OH 45406
Invoice Invoice Description
Date Number (or note attached Invoice(s) or bill(s)) Amount
9123110 523693 Refund 47.00
Total 47.00
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.
Grimley, John Allowed 20
605 Kenwood Ave.
Dayton, OH 45406
In Sum of
47.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -50 523693 4358400 47.00 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
47.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund