190397 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364744 Page 1 of 1
ONE CIVIC SQUARE NIVAD NAVID
CHECK AMOUNT: $47.00
CARMEL, INDIANA 46032 1740 MUSTANG CHASE DRIVE
ray to, WESTFIELD IN 46074 CHECK NUMBER: 190397
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 47.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 523703
Payment Date: 09/23/10
Household 3338
Monon Community Center Nivad Navid Hm Ph: (317)587 -0078
Carmef IN 46032 1740 Mustang Chase Dr. Wk Ph: (317)249 -5156
Westfield W 46074 Cell Ph: (317)695 -3439
nnavid midwestiso.org
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 47.00
Enrollee Name: N ivad Nav 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
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/23/10 11:08:50 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. N cash or credit card refunds.
Authorized Signature Date Autl g zed Si ature Date
3
(M.450. If 5�y�p
The Monon Community Center is a one -stop shop! Why drive all day searching for your local garage sale? Came 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.
�t N10
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.
Terms
Navid, Nivad
Date Due
1740 Mustang Chase Dr.
Westfield, IN 46074
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) 47.00
9123110 523703 Refund
Total 47.00
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
i
Voucher No. Warrant No.
Navid, Nivad Allowed 20
1740 Mustang Chase Dr.
Westfield, IN 46074
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 523703 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