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HomeMy WebLinkAbout195712 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 365172 Page 1 of 1 ONE CIVIC SQUARE CORI WILLIAMS CARMEL, INDIANA 46032 11911 FOXWOOD PLACE CHECK AMOUNT: $80.00 CARMEL IN 46033 CHECK NUMBER: 195712 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 80.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 582552 Payment Date: 02/28/11 Household 390 Monon Community Center Cori Williams Hm Ph: (317)815 -5574 Carmel IN 46032 11911 Foxwood Pl. Wk Ph: (317) Carmel IN 46033 Cell Ph: cjwillia@mac.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 80.00 Enrollee Name: Charlie Williams Fees +Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 316492 -02 Breakin' 101 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 02/16/2011 (Cancelled) Primary Instructor: Fitness on the Move Class Location: Dance Studio B Class Dates: 03/03/2011 to 04/28/2011 Monon Community Cntr 6:OOP to 6:45P Th Carmel, IN 46032 Scheduled Sessions: 8 o (317)848 -7275 Skip Days 04/07/2011 FEB 2 8 201 I Cancel Reason: low enrollment PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 02/28/11 12:29:56 by LVA FEES CHANGED ON CANCELLED ITEMS 80.00 NET AMOUNT FROM CANCELLED ITEMS," 80.00?= TOTAL AMOUNT REFUNDED X80.00' NEW NET HOUSEHOLD BALANCE 0.00 Refund of 80.00 Made By REFUND FINAN With Reference low enrollment All refunds are subject to State Board of Accounts claim procedure and may to 4 -6 weeks to process. A check will be issued. No cash or credit card refunds. f 2 L2-81 11 Authorized Signat Dale ad Sign ture Date 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. C C( "a -u g�oa "W Fw W-L� 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. Williams, Cori Terms 11911 foxwood PI Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/28/11 582552 Refund 80.00 Total 80.00 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. Williams, Cori Allowed 20 11911 foxwood PI Carmel, IN 46033 In Sum of 80.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -42 582552 4358400 80.00 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 -Mar 2011 Signature 80.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund