HomeMy WebLinkAbout194394 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 365058 Page 1 of 1
ONE CIVIC SQUARE MARIAN VASUTA CHECK AMOUNT: $28.00
CARMEL, INDIANA 46032 14039 BROOKSTONE DRIVE
CARMEL IN 46032 CHECK NUMBER: 194394
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 28.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 561301
Payment Date: 01/14/11
Household 9294
I
Smoky Row Elementary JAN 2011 L_J Marian Vasuta Hm Ph: (317)817 -0345
900 West 136th Street 14039 Brookstone Dr.
Carmel IN 46032 Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275 marianvasuta @sbcglobal.net
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 28.00
Enrollee Name: Matthew Vasuta Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486081 -04 B -Ball wl Character 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0111012011 (Cancelled)
Class Location: Smoky Row Elem Class Dates: 01/20/2011 to 02/10/2011
Smoky Row Elementary 2:45P to 3:45P
900 West 136th Street Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 01/14/11 15:26:58 by AEB FEES CHANGED ON CANCELLED ITEMS 28.00
NET'AMOUNTFROM'CANCELL'ED ITEMS':.
TOTALAMOUNTREFUNDED: 28.00•
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 28.00 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. cash or credit card refunds.
Authorized Signature Date Authorized Signature Date
Mothers, bring your little prince to Prince Charming's Ball and share a Valentine's evening of enchantment and wonder at this
ballroom -style event. The event will be held on Friday, February 4 fro 6 -9pm at the MCC. Fee is $15/person. Register at
www.carmefclayparks.com. Pre registration is required ativity# 319 7 -01).
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Vasuta, Marian Terms
14039 Brookstone Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1114111 561301 Refund 28.00
Total 28.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Vasuta, Marian Allowed 20
14039 Brookstone Dr.
Carmel, IN 46032
In Sum of$
28.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 561301 4358400 28.00 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
27 -Jan 2011
Signature
28.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund