HomeMy WebLinkAbout196985 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365251 Page 1 of 1
ONE CIVIC SQUARE KELSEY WILLIAMS
CHECK AMOUNT: $85.00
CARMEL, INDIANA 46032 CIO PARKS DEPARTMENT
CHECK NUMBER: 196985
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 85.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 600698
Payment Date: 04/12/11
Household 22999
Monon Community Center Kelsey Williams Hm Ph: (317)400 -8606
Carmel IN 46032
Cell Ph:
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 85.00
Enrollee Name: Kelsey Williams Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 313027 -01 LGI Class 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04111/2011 (Cancelled)
Class Location: Conference Room East Class Dates: 04/16/2011 to 04/30/2011
Monon Community Cntr 10:00A to 8:001P
Sa
Carmel, IN 46032 Scheduled Sessions: 3
(317)848 -7275
Cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04112/11 10:51:54 by ERM FEES CHANGED ON CANCELLED ITEMS 85.00-
f 6NET67AMOUNTVFROWCANCELLEWTEMS" X85 t10
:gTLO,TiAL- 'AMOUNTiREFUNDED. '�1_ k
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 85.00 Made By REFUND FINAN With Reference Advanced Request
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.
Authorized Signature Date Authorized Signature Date
10% l0, (435 &W60
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. D
Saturday, April 16 7 9 9 I F 191
Children's 10:30am, $1 /child
Doggie 11 am, $3 /dog A 2 2 0 11
West Park, 2700 W 116th Street
C BY:
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Williams, Kelsey Terms
Date Due
Invoice Invoice Description
Hate Number (or note attached invoice(s) or bill(s)) Amount
4112111 600698 Refund 85.00
Tota 1 85.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Williams, Kelsey Allowed 20
In Sum of$
85.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #rFiTLE AMOUNT Board Members
Dept
1096 -10 600698 4358400 85.00 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
21 -Apr 2011
Signature
85.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund