HomeMy WebLinkAbout190454 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364740 Page 1 of 1
>+0 ONE CIVIC SQUARE JUDD RUSSELL CHECK AMOUNT: $6.00
CARMEL, INDIANA 46032 14560 ALLISON DRIVE
•��Yoe,.c` CARMEL IN 46033 CHECK NUMBER: 190454
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 6.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 522537
Payment Date: 09/16/10
Household 32862
Carmel Clay Parks Recreation SkefFi Judd Hm Ph: (317)815 -4681
1235 Central Park Drive East 14560 Allison Dr.
Carmel IN 46032 Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 6.00
Enrollee Name: Russell Judd Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 109012 -02 Tour de Carmel -20 mi 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/2712010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Parking Lot East Class Dates: 09/11/2010 to 09/11/2010
Monon Community Cntr 7:30A to 12:OOP
Sa
Carmel IN 46032 Scheduled Sessions: 1
(317)848 -7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/16/10 16:28:57 by SAC FEES CHANGED ON CANCELLED ITEMS 6.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 6.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 6.00 Made By REFUND FINAN With Reference advance request
All refunds are subject to State Board of Accounts claim procedure and may to s to process. A check will be
issued. No cash or credit card refunds.
9 zv
Authorized Signature Date uthori d Signat a ate
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.
Judd, Russell Terms
14560 Allison Dr. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/16/10 522537 Refund 6.00
Total 6.00
I 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.
Judd, Russell Allowed 20
14560 Allison Dr.
Carmel, IN 46033
In Sum of
6.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -60 522537 4358400 6.00 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
23 -Sep 2010
Signature
6.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund