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.
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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.
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