HomeMy WebLinkAbout196484 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365217 Page 1 of 1
ONE CIVIC SQUARE ANN O'CONNOR -BRUHN
0 CHECK AMOUNT: $20.00
CARMEL, INDIANA 46032 12940 WEMBLY ROAD
CARMEL IN 46033 CHECK NUMBER: 196484
CHECK DATE: 4/1312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 20.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 596169
Payment Date: 04/01/11
Household 38744
Monon Community Center Ann O'Connor -Bruhn Hm Ph: (317)525 -4106
Carmel IN 46032 12940 Wembly Rd
Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275 skibrew @aol.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 20.00
Enrollee Name: Ann O 'Connor -Bruhn Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 314730 -01 Core Conditioning 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02124/2011 (Cancell!ed)
Primary Instructor: CCPR Staff
Class Location: Fitness Studio B Class Dates: 03/07/2011 to 03/07/2011
Monon Community Cntr 11:45A to 12:45P
M
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: Someone registered her for the wrong class
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/01/11 08:23:26 by LWW FEES CHANGED ON CANCELLED ITEMS 20.00 to fyid- NET AMOUNT'FROM CANCELL "ED'ITEMS?
t}�_ �i n�� 9- fl t n ,.,Q TOTALrAMOUNCREFIl11VDED s,' 20:007
U bVt' U NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 Made By REFUND FINAN With Reference check refund
All refunds are subject to State Board of Accounts claim procedure and may to eeK to process. A check will be
issued. No cash or credit card refunds.
Authorized Signature Date Au or ed Sign lure Date
435 Fq00
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 ILVEN
Children's 10:30am, $1 /child
Doggie 1lam, $3 /dog APR O ZQ1
West Park, 2700 W 116th Street
BY:.
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.
O'Connor Bruhn, Ann Terms
12940 Wembly Rd Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/11 596169 Refund 20.00
Total 20.00
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.
O'Connor- Bruhn, Ann Allowed 20
12940 Wembly Rd
Carmel, IN 46033
In Sum of
20.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 596169 4358400 20.00 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
7 -Apr 2011
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund