HomeMy WebLinkAbout195131 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 365143 Page 1 of 1
q 0 ONE CIVIC SQUARE PETER MITCHELL CHECK AMOUNT: $85.00
CARMEL, INDIANA 46032 3685 POWER DRIVE
CARMEL IN 46033 CHECK NUMBER: 195131
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 85.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 577773
Payment Date: 02/15/11
Household 20280
Monon Community Center Peter Mitchell Hm Ph: (317)705 -0820
Carmel IN 46032 3685 Power Dr
Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 85.00
Enrollee Name: Diane Mitchell Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 314650 -01 Fitness Instructor T 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/08/2011 (Cancelled)
Primary Instructor: Mimi Brookie
Class Location: Waterpark Shelter Class Dates: 02/23/2011 to 03/16/2011
Monon Community Cntr 7:OOP to 8:00P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02115/11 10:32:06 by LWW FEES CHANGED ON CANCELLED ITEMS 85.00
NET AMOUNT FROM CANCELLED ITEMS 85.00
TOTAL AMOUNT REFUNDED 85.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 85.00 Made By REFUND FINAN With Reference Low enrollment
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 c or credit card refunds.
2.15.1/
Authorized Signature Date Aut or' ed VSign u re Date
�Oq� 2�. �594caa
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,
Mitchell, Peter Terms
3685 Power Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2115/11 577773 Refund 85.00
Total 85.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No,
Mitchell, Peter Allowed 20
3685 Power Dr
Carmel, IN 46033
In Sum of
85.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 577773 4358400 85.00 I hereby certify that the attached invoice(s), or
bi[i(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
24 -Feb 2011
/JIW~.O
Signature
I 85.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund