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Home My WebLink About196097 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 /ti 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, $3 /dog M AP West Park, 2700 W 116th Street 1 `X BY........................ Page 4 1 f ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Shafer, Lauren Terms 2323 Beach Ave Date Due Indianapolis, IN 46240 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3116111 591452 Refund 7.00 Total 7.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer Voucher No. Warrant No. Shafer, Lauren Allowed 20 2323 Beach Ave Indianapolis, IN 45240 In Sum of$ 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