HomeMy WebLinkAbout194546 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 365025 Page 1 of 1
ONE CIVIC SQUARE MICHELLE DARON
CARMEL, INDIANA 46032 CHECK AMOUNT: $84.00
13645 SHELBORNE ROAD
WESTFIELD IN 46074 CHECK NUMBER: 194546
CHECK DATE: 2/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 84.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 570080
Payment Date: 02/03/11
Household 1974
Monon Community Center Michelle Daron Hm Ph: (317)733 -0714
Carmel IN 46032 13645 Shelborne Rd. Wk Ph: (317)810 -7510
Westfield IN 46074 Ext. 679
Phone: (317)$4$ -7275 mmdaron @aol.com Cell Ph: (317)403-6322
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 42.00
Enrollee Name: Alex Daron Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476012 -13 School's Out Camp 0.00 0.00 0.00 0 0.00
Enrollment Date: 12/23/2010 (Cancelled)
Class Location: West Clay Elementary Class Dates: 12/29/2010 to 12/29/2010
West Clay Elementary 7:OOA to 6.
3495 W. 126th St. W
Carmel IN 46032 Scheduled Sessions. 1
ELATHION-
Cancel Reason: r decision)
nd Of 42.00
Enrollee Name: Alex Daron Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476012 -14 School's Out Camp 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12123/2010 (Cancelled)
Class Location: West Clay Elementary Class Dates: 12/30/2010 to 12/30/2010
West Clay Elementary 7:00A to 6:OOP
3495 W. 126th St. Th a
Carmel, IN 46 Scheduled Sessions. 1
Xi i
�nott Cancel Reason: did attend camp (ccpr decision)
FEB 0 4 101 p
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/03/11 14:08:57 by BJJ FEES CHANGED ON CANCELLED ITEMS 84.00
-NET' "AMOUNT FROM CANCELLED `ITEMS
TOTAL.AMOUNT REFUNDED. 84100'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 84.00 Made By REFUND FINAN With Reference
All refu 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 s.
ALk razed Signature Date Authorized Signature Date
or.71�1-
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.
Daron, Michelle Terms
13645 Shelborne Rd Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
213/11 570080 Refund 84.00
Total 84.00
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.
Daron, Michelle Allowed 20
13645 Shelborne Rd
Westfield, IN 46074
In Sum of
84.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 570080 4358400 84.00 i hereby certify that the attached invoice(s), or
bdl(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
Signature
84.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund