HomeMy WebLinkAbout196939 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365247 Page 1 of 1
ONE CIVIC SQUARE ANN SHINKLE
CHECK AMOUNT: $1,275.00
CARMEL, INDIANA 46032 4464 REPASS DRIVE
WESTFIELD IN 46074 CHECK NUMBER: 196939
CHECK DATE: 4/26/2011
DEPA RTMENT ACCOU PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
1082 4358400 1,275.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt# 602283
Payment Date: 04/14/11
Household 34399
West Clay Elementary Ann Shinkle Hm Ph: (317)344 -2337
3495 W. 126th St. 4464 Repass Drive
Carmel IN 46032 Westfield IN 46074 Cell Ph:
annshinkle@gmaii.com
(317)844 -9961 nnshinkle @gmail.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 1,243.00
Enrollee Name: Lauren Shinkle Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -30 Vacation Station 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/10/2011 (Cancelled)
Class Location: Creekside Middle Sch Class Dates: 05/31/2011 to 07/29/2011
Creekside Middle Sch 7:OOA to 6:OOP
3525 W. 126th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 44
(317)848 -7275
Cancel Reason: no longer going
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 32.00
Processed on 04/14/11 18:02:45 by JLH FEES CHANGED ON CANCELLED ITEMS 1,250.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 7.00
r NET AMOUNT `FROM CANCELLED °ITEMS' 1,243.00
HH BALANCE APPLIED TO THIS RECEIPT 32.00
TOTAL AMOUNT REFUNDED 1,275a10
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 1,275.00 Made By REFUND FINAN With Reference
AN refund re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. cash or credit card refunds.
r
A thori d Signature Date Authorized Signature Date
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. y
Saturday, April 16 �f�/}(� D 0 s
Children's 1* $1 /child !0 r `1 r 1� APR
Doggie 11am $3 /d $3 /dog V ,�v
West Park, 2700 W 116th Street
t 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.
Shinkle, Ann Terms
4464 Repass Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4114/11 602283 Refund 1,275.00
Total 1,275.00
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.
Shinkle, Ann Allowed 20
4464 Repass Drive
Westfield, IN 46074
In Sum of
1,275.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1082 -1 602283 4358400 1,275.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
21 -Apr 2011
Signature
1,275.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund