HomeMy WebLinkAbout190641 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364775 Page 1 of 1
ONE CIVIC SQUARE FAITH ALBERTIN
CARMEL, INDIANA 46032 282 PROVIDENCE BLVD CHECK AMOUNT: $64.00
CARMEL IN 46032 CHECK NUMBER: 190641
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 526491 64.00 REFUND FROM PARKS
ACTIVITY REFUND RECEIPT
Receipt 526491
Payment Date: 10/06/10
Household 30339
Monon Community Center Faith Albertin
1
Carmel IN 46032 20 282 Providence Blvd
Carmel IN 46032 Cell Ph: (317)456 -4488
Phone: (317)848 -7275 B albertif@gmail.com
�'e
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 64.00
Enrollee Name: Faith Albertin Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 207401 -01 Intermediate Tap 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/16/2010 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location: Dance Studio B Class Dates: 09/28/2010 to 11/16/2010
Monon Community Cntr 8:40P to 9:25P
Tu
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Cancel Reason: IOW enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/06/10 Q 13:51:36 by MML FEES CHANGED ON CANCELLED ITEMS 64.00
NET AMOUNT FROM CANCELLED ITEMS 64.00
TOTAL AMOUNT REFUNDED 64.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 64.00 Made By REFUND FINAN With Reference low enrollment
All refunds are sub'ect to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N h o .credit card refunds.
Authorized Signature ate Authorized Signature Date
/R, .�t35�
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.
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.
Albertin, Faith Terms
282 Providence Blvd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1016110 526491 Refund 64.00
Total 64.00
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.
Albertin, Faith Allowed 20
282 Providence Blvd
Carmel, IN 46032
In Sum of
64.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
10 -50 526491 4358400 64.00 I 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
7 -Oct 2010
J�� a Q&
Signature
64.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund