HomeMy WebLinkAbout191628 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364864 Page 1 of 1
ONE CIVIC SQUARE MARK FEATHERSON
O CARMEL, INDIANA 46032 CHECK AMOUNT: $16.00
1009 SARA70GA CIRCLE
INDIANAPOLIS IN 46280 CHECK NUMBER: 191628
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 16.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 534543
Payment Date: 11/01/10
Household 25650
Monon Community Center Mark Featherson Hm Ph: (317)706 -0316
Carmel IN 46032 1009 Saratoga. Circle Wk Ph: (317)269 -7460
Indianapolis IN 46280 Cell Ph: (317)514-9967
Ifeatherson@holmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 16.00
Enrollee Name: Lillian Featherson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 206343 -01 Hip Hop Recital 72.00 0.00 72.00 0.00 0.00
Enrollment Date: 08/12/2010 (Enrolled)
Primary Instructor: Dance Class Studio
Class Location. Dance Studio B Class Dates: 09/25/2010 to 12/11/2010
Monon Community Cntr 11:30A to 12:OOP
Sa
Carmel IN 46032 Scheduled Sessions: 11
(317)848 -7275
Skip Days 11/27/2010
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 11/01/10 15:20:10 by LVA FEES ADJUSTED ON CHANGED ITEMS 16.00
NET AMOUNT FROM CHANGED ITEMS 16.00
TOTAL AMOUNT REFUNDED'.' 16.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 16.00 Made By REFUND FINAN With Reference advanced request
All refunds are subject to State Board of Accounts claim procedure and may 4 -6 weeks to process. A check will be
issue No cash or credit card refunds.
11.2.16
Authorized Sig ture Da a thorigna ture Date
SIG' 0 2 2010
m U ,S� 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.
Featherson, Mark Terms
1009 Saratoga Circle Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
16.00
1111110 534543 Refund
Total 16.00
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.
Featherson, Mark Allowed 20
1009 Saratoga Circle
Indianapolis, IN 46280
In Sum of
16.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 534543 4358400 16.00 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
4 -Nov 2010
Signature
16.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund