HomeMy WebLinkAbout195061 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 365140 Page 1 of 1
ONE CIVIC SQUARE CATHY HARDWICK
CARMEL, INDIANA 46032 13699 STONE HAVEN DRIVE CHECK AMOUNT: $48.00
CARMEL IN 46033 CHECK NUMBER: 195061
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 48.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 580794
Payment Date: 02/23/11
Household 4209
Monon Community Center Cathy Hardwick. Hm Ph: (317)571 -1874
Carmel IN 46032 13699 Stone Haven Dr Wk Ph: (317)435 -8737
Carmel IN 46033 Cell Ph: (317)571 -7925
schardwick@sbcglobal.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 48.00
Enrollee Name: Grace Hardwick Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 31 3008 -1 2 Learn to Swim LA 3 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/07/2011 (Cancelled)
Class Location: Indoor Lap Pool 3 Class Dates: 02/04/2011 to 02/25/2011
Monon Community Cntr F 6:05P to 7:OOP
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275 FEB 20
Cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/23/11 12:59:29 by ERM FEES CHANGED ON CANCELLED ITEMS 55.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOl1NT FROM�CANCELLEUtITEMS T 48[00
TO7ALRAMOUNiTdREFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 48.00 Made By REFUND FINAN With Reference Advanced Request
Rewards Points refunded on this receipt: 0.70
Household Reward Point Balance: 17.20
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
S Z Z 3 /t
Authorized Signature Date Authorized Signature Date
(C) /o. Y35`5
Sign up now or volunteer for our Dime Carnival taking place on March 5, from 6 -9pm in the MCC Banquet Rooms. There will
be at least 15 different types of games appropriate for ages 3 -12 years old. The number of tickets required to play varies for
each game. You may play your favorite game as often as you would like; just make sure you don't run out of tickets. Tickets
are 10 cents each, put you may purchase by the dollar. Visit carmelclayparks.com for ticket numbers and pricing.
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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.
Hardwick, Cathy Terms
13699 Stone Haven Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2123111 580794 Refund 48.00
Total 48.00
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,
Hardwick, Cathy Allowed 20
13699 Stone Haven Dr
Carmel, IN 46033
In Sum of
48.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
Dept
1096 -10 580794 4358400 48.00 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
25 -Feb 2011
Signature
48.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund