HomeMy WebLinkAbout195353 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 365162 Page 1 of 1
ONE CIVIC SQUARE KITTY BROMM
CARMEL, INDIANA 46032 8905 EVERGREEN AVE #362 CHECK AMOUNT: $98.00
INDIANAPOLIS IN 46240
CHECK NUMBER: 195353
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 98.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 582493
Payment Date: 02/28/11
Household 5290
Monon Community Center Kitty Bromm Him Ph: (317)705 -1927
Carmel IN 46032 8905 Evergreen Ave. #362
Indianapolis IN 46240 Cell Ph (317)650 -7141
kittybromm@sbcglobal.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 49.00
Enrollee Name: Kitty Bromm Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 317417 -01 Microsoft Office 1 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/20/2011 (Cancelled)
Primary Instructor: Selective Training
Class Location: Computer Lab Class Dates: 03/14/2011 to 03/14/2011
Monon Community Cntr 6:30P to 8:OOP
M
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
CANCELLATION Refund Of 49.00
Enrollee Name: Kitty Bromm Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 317419 Microsoft Office II 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/20/2011 (Cancelled)
Primary Instructor: Selective Training
Class Location: Computer Lab Class Dates: 03/21/2011 to 03/21/20
Monon Community Cntr 6:30P to 8:OOP
Carmel IN 46032 Scheduled Sessions: 1 M FEB 2 2 01 r
(317)848 -7275
BY:-
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/28/11 10.01:34 by KLB FEES CHANGED ON CANCELLED ITEMS 98.00
Y'p rCt J ec�' NET; AMOUNT =FROM CANCELLED ITEMS! 98:00`,
:TOTAL''AMOUNT =.`REFUNDED 98s00.r S/
1 0C1 l _J V �1� NEW NET HOUSEHOLD BALANCE 0.00
Refund of 98.00 Made By REFUND FINAN With Reference vjera
All refunds are subject to State Board of Accounts claim procedure and may take ks t process. A check will be
issued. No cash or credit card refunds.
2,28,11
Authorized Signature Date Aut v ri Signatu Date
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.
Bromm, Kitty Terms
8905 Evergreen Ave. 362 Date Due
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2128/11 582493 Refund 98.00
Total 98.00
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.
Bromm, Kitty Allowed 20
8905 Evergreen Ave. 362
Indianapolis, IN 46240
In Sum of
98.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 582493 4358400 98.00 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
98.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund