HomeMy WebLinkAbout196948 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365249 Page 1 of 1
Q ONE CIVIC SQUARE KAREN SPITZNOGLE CHECK AMOUNT: $160.00
CARMEL, INDIANA 46032 1129 FAIRBANKS DRIVE
CARMEL IN 46033 CHECK NUMBER: 196948
CHECK DATE: 4/2612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 160.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 600802
Payment Date: 04/12/11
Household 5202
Monon Community Center Karen Spitznogle Hm Ph: (317)574 -0307
Carmel IN 46032 1129 Fairbanks Dr Wk Ph: (317)582 -1700
Carmel IN 46033 Ext.493
Phone: (317)848 -7275 jkspitznogle@yahoo.com Cell Ph: (317)752-6567
Fed Tax ID #35- 6000972
Enrollment Details
Enrollee Name: Monica Spitznogle Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 476007 -02 Adventures in Art 160.00 0.00 0.00 160.00 0.00
Enrollment Date: 04/12/2011 (Enrolled)
Class Location: Party Rooms A B Class Dates: 06/06/2011 to 06/10/2011
Monon Community Cntr 8:30A to 5:30P i�f7
M,Tu,W,Th,F L l�l
Carmel, IN 46032 Scheduled Sessions: 5 f
(317)848 -7275 1 AP 201
Special Questions: Child's T -Shirt Size By
Child's Swimming Level
Enrollee Name: Monica Spitznogle Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476007 -03 Adventures in Art 160.00 0.00 0.00 160.00 0.00
Enrollment Hate: 04/12/2011 (Enrolled)
Class Location: Party Rooms A B Class Dates: 06/13/2011 to 06/17/2011
Monon Community Cntr 8:30A to 5:30P
M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Special Questions: Child's T -Shirt Size
Child's Swimming Level
Enrollee Name: Monica Spitznogle Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 476007 -04 Adventures in Art 160.00 0.00 0.00 160.00 0.00
Enrollment Date: 04/12/2011 (Enrolled)
Class Location: Party Rooms A B Class Dates: 06/20/2011 to 06/24/2011
Monon Community Cntr 8:30A to 5:30P
M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Special Questions: Child's T -Shirt Size
Child's Swimming Level
Enrollee Name: Monica Spitznogle Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 476007 -06 Adventures in Art 126.00 0.00 0.00 128.00 0.00
Enrollment Date: 04/12/2011 (Enrolled)
Page 1
ACTIVITY REFUND RECEIPT
Receipt 600802
Payment Date: 04/12/2011
Household 5202
Class Location: Party Rooms A B Class Dates: 07/05/2011 to 07/08/2011
Monon Community Cntr 8:30A to 5:30P
Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Special Questions: Child's T -Shirt Size
Child's Swimming Level
Enrollee Name: Monica Spitznogle Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 476007 -07 Adventures in Art 160.00 0.00 0.00 160.00 0.00
Enrollment Date: 04/12/2011 (Enrolled)
Class Location: Party Rooms A B Class Dates: 07/11/2011 to 07/15/2011
Monon Community Cntr 8:30A to 5:30P
M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Special Questions: Child's T -Shirt Size
Child's Swimming Level
Enrollee Name: Monica Spitznogle Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number. 476007 -08 Adventures in Art 160.00 0.00 0.00 160.00 0.00
Enrollment Date: 04/12/2011 (Enrolled)
Class Location: Party Rooms A B Class Dates: 07/18/2011 to 07/22/2011
Monon Community Cntr 8:30A to 5:30P
M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Special Questions: Child's T -Shirt Size
Child's Swimming Level
Enrollee Name: Monica Spitznogle Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 476007 -09 Adventures in Art 160.00 0.00 0.00 160.00 0.00
Enrollment Date: 04/12/2011 (Enrolled)
Class Location: Party Rooms A B Class Dates: 07/25/2011 to 07/29/2011
Monon Community Cntr 8:30A to 5:30P
M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Special Questions: Child's T -Shirt Size
Child's Swimming Level
Enrollee Name: Monica Spitznogle Fees Tax piscount Prey Paid Cur Paid Amount Due
Activity Number: 476007 -01 Adventures in Art 128.00 0.00 0.00 126.00 0.00
Enrollment Date: 04/12/2011 (Enrolled Transfer from 476007 -10 (Adventures in Art))
Page 2
ACTIVITY REFUND RECEIPT
Receipt 600802
Payment Date: 04/12/2011
Household 5202
Class Location: Party Rooms A B Class Dates: 05/31/2011 to 06/03/2011
Monon Community Cntr 8:30A to 5:30P
M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 4 MME
(317)848 -7275 0 JA a
Special Questions: Child's T Shirt Size YM A P R 1 y 1011
Child's Swimming Level Int
BY:
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/12/11 14:21:02 by JAB FEES ADJUSTED ON CHANGED ITEMS 34.00
NET AMOUNT FROM CHANGED ITEMS 34.00-
TOTAL AMOUNT REFUNDED 34.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 34.00 Made By REFUND FINAN With Reference check refund
Payment of 1,216.00 Made By Activity Registration Credit Balance
AI refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
su .n cash or credit card refunds.
A ed 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 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
West Park, 2700 W 116th Street
i l.• V V
G
�V,V
z-_�5��-
Page 3
ACTIVITY REFUND RECEIPT
Receipt 601546
Payment Date: 04/14/11
Household 5202
Morton Community Center Karen Spitznogle Hm Ph: (317)574 -0307
Carmel IN 46032 1129 Fairbanks Dr Wk Ph: (317)582 -1700
Carmel IN 46033 Ext.493
jkspitznogle@yahoo.com Cell Ph: (317)752-6567
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 126.00- 126.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 126.00
Processed on 04/14111 0 845:29 by JAB NEW REFUND AMOUNT 126.00
TOTAL REFUNDABLE AMOUNT 126.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 126.00 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
`cash or credit card refunds.
Au a 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 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, $3 1dog
West Park, 2700 W 116th Street Z U
n Y t_.�u.'Vt, o�
aPR 5 -ray 1 AV U, V� ��Vv (A_
BY:
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Spitznogle, Karen Terms
1129 Fairbanks Dr Date Due
Carmel, IN 40633
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
4112111 600802 Refund 34.00
4114/11 601546 Refund 126.00
Total 160.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Spitznogle, Karen Allowed 20
1129 Fairbanks Dr
Carmel, IN 40633
In Sum of$
160.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1082 -4 600802 4358400 34.00 1 hereby certify that the attached invoice(s), or
1082 -1 601546 4358400 126.00 bili(s) 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
160.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund