HomeMy WebLinkAbout190369 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364034 Page 1 of 1
ONE CIVIC SQUARE HUA LUO CHECK AMOUNT: $134.00
�ro CARMEL, INDIANA 46032 14023 WASHITA CT
CARMEL IN 46033 CHECK NUMBER: 190369
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBE AMOUNT DESCRIPTION
1096 4358400 134.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 523698
Payment Date: 09/23/10
Household 22595
Monon Community Center Hua Luo Hm Ph: (317)571 -8919
Carmel IN 46032 14023 Washita Ct. Wk Ph: (317)370 -2741
Carmel IN 46033 Cell Ph:
tianbupa @yahoo.com; taowang63 @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 47.00
Enrollee Name: Henry Luo 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
CANCELLATION Refund Of 87.00
Enrollee Name: Robert Luo Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 207600 -02 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 09/23/10 11:00:26 by MML FEES CHANGED ON CANCELLED ITEMS 134.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 134.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 134.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may t weeks to process. A check will be
issued cash or credit card refunds.
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Authorize ignalure bate Aut o ed Sign re
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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.
Luo, Hua Terms
14023 Washita Ct. Date Due
Carmel, IN 46033
Invoice ;j523698 oice Description
Date mber (or note attached invoice(s) or bill(s)) Amount
9123/10 Refund 134.00
Total 134.00
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.
Luo, Hua Allowed 20
14023 Washita Ct.
Carmel, IN 46033
In Sum of
134.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or iNVOICE NO. ACCT #rTITLE AMOUNT Board Members
Dept
1096 -50 523698 4358400 134.00 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
134.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund