HomeMy WebLinkAbout194575 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 365077 Page 1 of 1
o ONE CIVIC SQUARE KELLY FREEMAN CHECK AMOUNT: $78.00
CARMEL, INDIANA 46032 11685 BRADFORD PLACE
CARMEL IN 45033 CHECK NUMBER: 194575
CHECK DATE: 2116/2011
DEPARTME ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1096 4358400 78.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 570122
Payment Date: 02/03/11
Household 25536
Morton Community Center Kelly Freeman Hm Ph: (317)706 -0921
Carmel IN 46032 11685 Bradford Place Wk Ph: (317)809 -8413
Carmel IN 46033 Cell Ph:
projectlinus@lndy.rr.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 78.00
Enrollee Name: Melissa Freeman Fees Tax Discount Prev Paid Our Paid Amount Due
Activity Number: 316306 -01 Fused Glass Jewelry 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12110/2010 (Cancelled)
Primary instructor: Creative Escape
Class Location. Art Studio Class Dates: 02/07/2011 to 02/14/2011
Morton Community Cntr 6:OOP to 8:OOP
M
Carmel, IN 46032 Scheduled Sessions: 2
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/03/11 14:38:47 by LVA FEES CHANGED ON CANCELLED ITEMS 78.00
NET AMOUNT FROM CANCELLED ITEMS 78,00-
TOTAL AMOUNT?REFUNDED 78.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 78.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and m>gy take -6 weeks to process. A check will be
issued. No cash or credit card refunds.
r
3 z13/I I
Authorized Si g lure Da e A t prized Sjgnature 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 from 6 -9pm at the MCC. Fee is $15 /person. Register at
www.carmelclayparks.com. Pre registration is required (activity# 319047 -01).
U f Prot L 4 D BE 9
FEB 0 4 2011
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
Freeman, Kelly Terms
11685 Bradford Place Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/3/11 570122 Refund 78.00
Total 78.00
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.
Freeman, Kelly Allowed 20
11685 Bradford Place
Carmel, IN 46033
In Sum of
78.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 42 570122 4358400 78.00 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
10 -Feb 2011
A
Signature
78.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund