HomeMy WebLinkAbout191174 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 364830 Page 1 of 1
ONE CIVIC SQUARE KAREN DEFRANTZ
4 CARMEL, INDIANA 46032 13686 MONIQUE DRIVE CHECK AMOUNT: $64.00
WESTFIELDIN 46074
CHECK NUMBER: 191174
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 64.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 531598
Payment Date: 10/18/10
Household 36651
Monon Community Center Karen DeFrantz Hm Ph: (317)732 -4093
Carmel IN 46032 13686 Monique Drive Wk Ph: (317)510 -4412
Westfield IN 46074 Cell Ph: (901)301-4572
kdefrantz @aol.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 64.00
Enrollee Name: Robert (Dru) DeFrantz Fees Tax Discount Prev Paid Qur Paid Amount Due
Activity Number. 476012 -01 School's Out Camp 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/2912010 (Cancelled)
Class Location: West Clay Elementary Class Dates: 10/21/2010 to 10/22/2010
West Clay Elementary 7:00A to 6:OOP
3495 W. 126th St, Th,F
Carmel IN 46032 Scheduled Sessions: 2
(317)844 -9961
Cancel Reason: no longer need camp
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/18/10 12:46:56 by BJJ FEES CHANGED ON CANCELLED ITEMS 64.00
NET AMOUNT4FROWCANCELLED ITEMS 64.00
TOTAL AMOUNT,REFUNDED 164.0 0`
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 64.00 Made By REFUND FINAN With Reference
_lam
All refun s are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or credit card refunds.
u zed Signature Date Authorized Signature Date
0 Z
010
BY...
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.
DeFrantz, Karen Terms
13686 Monique Drive Date Due
Westfield, IN 46474
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/18/10 531598 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
DeFrantz, Karen Allowed 20
13686 Monique Drive b
Westfield, IN 46074
In Sum of
64.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
I
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 531598 4358400 64.00 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
21 -Oct 2010
Signature
64.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund