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Home My WebLink About190960 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364785 Page 1 of 1 0 ONE CIVIC SQUARE JENNIFER SKULSKI CARMEL, INDIANA 46032 7489 NORTH ILLINOIS CHECK AMOUNT: $185.50 INDIANAPOLIS IN 46260 CHECK NUMBER: 190960 c CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 526640 185.50 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 526640 Payment Date: 10/07/10 Household 37371 Monon Community Center Jennifer Skulski Hm Ph: (317)251 -3070 Carmel IN 46032 7489 North Illinois Indianapolis IN 46260 Cell Ph: mjskulski @aol.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 20.50 Enrollee Name: Matt Skulski Fees Tax Mom Prey Paid Cur Paid Amount Due Activity Number. 205121 -01 Mom -N-Me Gymnastics 34.50 0.00 0.00 34.50 0.00 Enrollment Date: 09/02/2010 (Cancelled) Class Location: Fitness Studio B Class Dates: 09/07/2010 to 09/28/2010 Monon Community Cntr 10:30A to 11:OOA Tu Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: prorated request CANCELLATION Refund Of 55.00 Enrollee Name: Matt Skulski Fees Tax Discount Prey Paid Cur Paid Amount Due Activity Number. 205121 -03 Mom -N -Me Gymnastics 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/0212010 (Cancelled) Class Location: Fitness Studio B Class Dates: 10105/2010 to 1012612010 Monon Community Cntr 10:30A to 11:OOA Tu Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: advanced request CANCELLATION Refund Of 55.00 Enrollee Name: Matt Skulski Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 205121 -05 Mom -N-Me Gymnastics 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/02/2010 (Cancelled) Class Location: Fitness Studio B Class Dates: 11/02/2010 to 11/23/2010 Monon Community Cntr 10:30A to 11 .00A Tu Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: advanced request CANCELLATION Refund Of 55.00 Enrollee Name: Matt Skulski Fees Tax Discount Prey Paid Cur Paid Amount Due Activity Number. 205121 -07 Mom -N -Me Gymnastics 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/0212010 (Cancelled) Page 1 ACTIVITY REFUND RECEIPT Receipt 526640 Payment Date: 10/07/2010 Household 37371 Class Location: Fitness Studio B Clams Dates: 11/30/2010 to 12/21/2010 Monon Community Cntr 10:30A to 11:00A Tu Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: advanced request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 10/07/10 10 :13:40 by CNA FEES CHANGED ON CANCELLED ITEMS 220.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 34.50 NET AMOUNT FROKCANCELLED ITEMS .85.50- TOTAL AMOUNT REFUNDED 185.50 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 185.50 Made By REFUND FINAN With Reference advanced request 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 r e funds. /n 6 Nj— f6 (Y U _1 01 LY o Auth 'zed Signature Date 1 Authom&6d Signature Date 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 dam -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, r I-Vil l oo o S N Q 'B*Y `/q1 p eu� Page #2 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. Skulski, Jennifer Terms 7489 North Illinois Date Due Indianapolis, IN 46260 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1017110 526640 Refund 185.50 Total 185.50 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. Skulski, Jennifer Allowed 20 7489 North Illinois Indianapolis, IN 46260 In Sum of 185.50 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members Dept 1096 -32 526640 4358400 185.50 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 7 -Oct 2010 Signature 185.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund