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Home My WebLink About190822 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364789 Page 1 of 1 ONE CIVIC SQUARE SONATA JAKUCIONIENE CARMEL, INDIANA 46032 203 E 106TH STREET CHECK AMOUNT: $55.00 s r' INDIANAPOLIS IN 46280 CHECK NUMBER: 190822 CHECK DATE: 10/1312010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 1096 4358400 55.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 526467 Payment Date: 10/06/10 Household M. 36874 Monon Community Center Sonata Jakucioniene Hm Ph: (317)816 -0732 Carmel IN 46032 203 E 106th Street Indianapolis IN 46280 Cell Ph: (317)919-0751 sigitas @gmail.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 55.00 Enrollee Name: Ugne Jakucioniene Fees Tax Discount Prev Paid Cur Paidl Amount Due Activity Number: 203006 -05 Learn to Swim Lvl 1 0.00 0.00 0.00 0,00 0.00 Enrollment Date: 08/29/2010 (Cancelled) Class Location: Indoor Lap Pool 1 Class Dates: 10/04/2010 to 10/25/2010 Monon Community Cntr 5:05P to &00P M Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: Class Canced Due to Low Enrollment PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 10106(10 11:39:15 by ERM FEES CHANGED ON CANCELLED ITEMS 55.00 :'NEMAMOUNT FROM „CANCELLED ITEMS ;55 uTOTAL M0UNTAEFIJNDEWG6 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 55.00 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. 10 G /V Authorized Signature Date Authorized Signature Date 10(F6. 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. Jakucioniene, Sonata Terms 203 E 106th Street Date Due Indianapolis, IN 46280 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10!6110 526467 Refund 55.00 Total 55.00 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. Jakucioniene, Sonata Allowed 20 203 E 106th Street Indianapolis, IN 46280 In Sum of 55.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -10 526467 4358400 55.00 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 LI /W o Signature 55.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund