190981 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364786 Page 1 of 1
0 j ONE CIVIC SQUARE KALEESHA THOMPSON CHECK AMOUNT: $40.00
CARMEL, INDIANA 46032 3221 E 106TH ST
CARMEL IN 46033 CHECK NUMBER: 190981
CHECK DATE: 10113/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 526520 40.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 526520
Payment Date: 10/06/10
Household 152
Monon Community Center V T Kaleesha Thompson Hm Ph: (317)569 -0819
Carmel IN 46032
OCT 0 7 3221 E. 106th. Street Wk Ph: (317)
Carmel IN 46033 Cell Ph: (3 17)
thompson_family6@yahoo. com
Phone: (317)848-7275
Fed Tax ID #35- 6000972 ]BY
Enrollment Details
CANCELLATION Refund Of 40.00
Enrollee Name: Luke Thompson Fees Tax Disoount Prey Paid Cur Paid Amount Due
Activity Number. 205012 -04 Skyhawks Tennis with 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/10/2010 (Cancelled)
Crass Location: Gymnasium C Class Dates: 10/14 /2010 to 11/04/2010
Monon Community Cntr 11:00A to 11:45A
Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/06/10 15:43:57 by CNA FEES CHANGED ON CANCELLED ITEMS 40.00
NET AMOUNT FROM CANCELLED ITEMS 40.00-
TOTALAMOUNT REFUNDED 40.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 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 car refunds.
1_� 1�" 1 6 /1, /1 o
Authoriz Signature Date Authorized 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 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.
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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.
Thompson, Kaleesha Terms
3221 E 106th Street Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1016110 526 Refund 40.00
Total 40.00
E 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.
Thompson, Kaleesha Allowed 20
3221 E 106th Street
Carmel, IN 46033
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
909 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
9096 -32 526520 4358400 40.00 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
7 -Oct 2010
Signature
40.00 Accounts Payable Coordinator
Cost distribution ledger dassification if Title
claim paid motor vehicle highway fund