HomeMy WebLinkAbout196377 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365216 Page 1 of 1
ONE CIVIC SQUARE LISA HARBER
x' ?o CARMEL, INDIANA 46032 4181 E 131 ST ST CHECK AMOUNT: $139.00
CARMEL IN 46033 CHECK NUMBER: 196377
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 139.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 598443
Payment Date: 04/07/11
Household 17084
Monon Community Center Lisa Harber Hm Ph: (317)508 -5270
Carmel IN 46032 4181 E 131st Street
Carmel IN 46033 Cell Ph:
Iisadharber@gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 139.00
Enrollee Name: Calypso King Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 116484 -01 Challenger British S 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/01/2011 (Cancelled)
Primary Instructor: Challenger British Soccer
Class Location: West park Field 6 Class Dates: 06/06/2011 to 06/10/2011
West Park 9:OOA to 12:OOP
2700 W. 116th St. M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04107/11 U 09:09:50 by LVA FEES CHANGED ON CANCELLED ITEMS 146.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00-
NET AMOUNT "FROM CANCELLED. ITEMS
TOTAL, t "_139,00-1
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 139.00 Made By REFUND FINAN With Reference advanced request
All refunds are subject to State Board of Accounts claim procedure and may take 4- eeks to process. A check will be
issue cash or credit card refunds.
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?-IL-1 -7 7
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Authorized Sig t re Date Aut ri d gignatur ale
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 lbs 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
West Park, 2700 W 116th Street
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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.
Harber, Lisa Terms
4181 E 131st Street Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
417111 598443 Refund 139.00
Total 139.00
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.
Harber, Lisa Allowed 20
4181 E 131st Street
Carmel, IN 46033
In Sum of
139.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 598443 4358400 139.00 1 hereby certify that the attached invoice(s), or
y biti(s) is (are) true and correct and that the
m6terials or services itemized thereon for
r
which charge is made were ordered and
received except
7 -Apr 2011
Signature
139.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund