190435 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364321 Page 1 of 1
ONE CIVIC SQUARE DAYNA PRINCE
1 1949 W 116TH ST CHECK AMOUNT: $87.00
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 190435
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 87.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 523705
Payment Date: 09/23/10
Household 3114
Monon Community Center Dayna Prince Hm Ph: (317)663 -4252
Carmel IN 46032 1949 W. 116th St.
carmel IN 46032 Cell Ph:
dlprince@yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 87.00
Enrollee Name: Scott Prince Fees Tax Discount Prev Paid Cur P 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
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/23/10 11:16:17 by MML FEES CHANGED ON CANCELLED ITEMS 87.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 87.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 87.00 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.
.23.10
Authorized Signature Date Au h rized S' nature Date
I 1 1 g36MM,
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.
7 7 77
t
2 7 2010 r�
BYe
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.
Prince, Dayna Terms
1949 W. 116th St. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9123110 523705 Refund 87.00
Total 87.00
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.
Prince, Dayna Allowed 20
1949 W. 116th St.
Carmel, IN 46032
In Sum of
87.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 523705 4358400 87.00 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
87.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund