HomeMy WebLinkAbout196097 03/29/2011 "M CITY OF CARMEL, INDIANA VENDOR: 365190 Page 1 of 1
ONE CIVIC SQUARE LAUREN SHAFER
CARMEL, INDIANA 46032 2323 BEACH AVE CHECK AMOUNT: $7.00
INDIANAPOLIS IN 46240 CHECK NUMBER: 196097
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 7.00 PARKS DEPARTMENT REFU
I
ACTIVITY REFUND RECEIPT
Receipt 591452
Payment Date: 03/16/11
Household 32995
Monon Community Center Lauren Shafer Hm Ph: (317)735 -2155
Carmel IN 46032 2323 Beach Ave
Indianapofis IN 46240 Cell Ph: (219)309-1222
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 7.00
Enrollee Name: Lauren Shafer Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 304201 -04 Zumba 21.00 0.00 0.00 21_0D 0.00
Enrollment Date: 0111912010 (Cancelled)
Primary Instructor: Brenda Barrett
Class Location: Dance Studio Class Dates: 02/03/2010 to 02/2412010
Monon Community Cntr 7:OOP to 7:50P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: MCC closed due to weather
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/16/11 10:51:08 by LWW FEES CHANGED ON CANCELLED ITEMS 28.00
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g4 L SURCHARGE APPLIED AGAINST CANCELLED FEES 21
II. �n�� ��((Q lVI� NET AMOUNT FRQM CANCELLED ITEMS 7.00
u �Y Qa,�d &kQ TQTAL AMOUNT REFUNDED 7.00
l.� NEW NET HOUSEHOLD BALANCE 0.00
Refund of 7.00 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.
LW. 0� 3.I
Authorized Signature l l
Date 3 l
Authorzed Signature Date
1091 22 4:5 S4-ov
Hop on over to West Park for our annual Children ?s and Doggie Egg Hunts! The hunts will be filled with egg- citing activities.
Children will be divided into their appropriate age groups: 0 -2 years, 3 -5 years, 6 -8 years, and 9 -11 years. Dogs will be divided
based on weight 0 -25 Ibs and 26+ lbs. All dogs are required to be on a leash at all times. Both events are held outside, rain or
snow. There is no online or pre- registration; you must register the day of.
Saturday, April 16
Children's 10:30am, $1 /child
Doggie 11 am, $3 /dog M AP West Park, 2700 W 116th Street 1 `X
BY........................
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Shafer, Lauren Terms
2323 Beach Ave Date Due
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3116111 591452 Refund 7.00
Total 7.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Shafer, Lauren Allowed 20
2323 Beach Ave
Indianapolis, IN 45240
In Sum of$
7.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept
10 -22 591452 4358400 7.00 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
24 -Mar 2011
V �lNhO
Signature
7.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund