HomeMy WebLinkAbout193850 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 365027 Page 1 of 1
ONE CIVIC SQUARE RUTH MEINEN
CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 1458 ESPIRIT DRIVE
.oN io WESTFIELD IN 46074 CHECK NUMBER: 193850
CHECK DATE: 1/1912011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 55.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 559346
Payment Date: 01/10/11
Household 7649
Monon Community Center Ruth Meinen Hm Ph: (317)815 -6671
Carmel IN 46032 1458 Esprit Drive
Westfield IN 46074 Cell Ph: (317)691-5057
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 55.00
Enrollee Name: Dana Meinen Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 206425 -03 Safe Sitter 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/13/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Rms A, B, C Class Dates: 11/13/2010 to 11113/2010
Monon Community Cntr 9:OOA to 4:OOP
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 01/10/11 11:20:15 by LVA FEES CHANGED ON CANCELLED ITEMS 55.00
NI=T AMOUNT FROM:CANCELLED ITEMS 55:00
TOTAL AMOUNT REFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 55.00 Made By REFUND FINAN With Reference advanced request
All refunds are subject to State Board of Accounts claim procedure and may tak weeks to process. A check will be
issu No cash or credit card refunds.
Authorized Sig re Date A t rized Sig lure Date
Happy Holidays from Carmel Clay Parks Recreation!
JAN 1 1. 201
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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.
Meinen, Ruth Terms
1458 Esprit Drive Date Due
Westfield, IN 46074
Invoice invoice Description
D ate Number
r note attached invoice(s) or bill(s)) Amount
1/10/11 55.00
0111 559346 ERefujnd
Total 55.00
f 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.
Meinen, Ruth Allowed 20
1458 Esprit Drive
Westfield, IN 46074
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #{TITLE AMOUNT Board Members
Dept
1096 -42 559346 4358400 55.00 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
13 -Jan 2011
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund