HomeMy WebLinkAbout195190 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 365145 Page 1 of 1
ONE CIVIC SQUARE BRANDON ROBINSON CHECK AMOUNT: $200.00
®.fr CARMEL, INDIANA 46032 10975 BEECHWOOD DRIVE WEST
INDIANAPOLIS IN 46280 CHECK NUMBER: 195190
CHECK DATE: 3!2!2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DESCRIPTION
1096 4358400 200.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 580795
Payment Date: 02/23/11
Household 39575
Monon Community Center Brandon Robinson Hm Ph: (317)696 -9462
Carmel IN 46032 10975 Beechwood Drive West
Indianapolis IN 46280 Cell Ph:
brandon@brandonweb.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 200.00
Enrollee Name: Riley Robinson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 313023 -02 Lifeguard Class 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02107/2011 (Cancelled)
Class Location: Pool Observation Rm Class Dates: 02/19/2011 to 02/27/2011
Monon Community Cntr 9:OOA to 6:OOP A°e
Su,Sa
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275 FEB
Cancel Reason: Unable to complete prerequisites
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/23/11 13:04:45 by ERM FEES CHANGED ON CANCELLED ITEMS 200.00
t, NETeAMOUNTAF »ROIYIICANCOLLED;ITEMS ,200300
IZOTALKAMOUNTiiIREFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 200.00 Made By REFUND FINAN With Reference Check Refund
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.
a z� �r
Authorized Signature Date Authorized Signature Date
1c) 14- I0. g3SaycxD
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.
a ll I
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,
Robinson, Brandon Terms
10975 Beechwood Drive West Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2123111 580795 Refund 200.00
Total 200.00
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,
Robinson, Brandon Allowed 20
10975 Beechwood Drive West
Indianapolis, IN 46280
In Sum of$
200.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
P09 °f INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 580795 4358400 200.00 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
ceived except
25 -Feb 2011
Signature
200.00 Accounts Payable Coordinator
Cost dlsti ibution ledger classification if Title
claim paid motor vehicle highway fund