HomeMy WebLinkAbout197126 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 365270 Page 1 of 1
ONE CIVIC SQUARE JINHUI CHEN CHECK AMOUNT: $1,243.00
CARMEL, INDIANA 46032 12556 GLENCOVE CT
CARMEL IN 46033 CHECK NUMBER: 197126
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 1,243.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 609457
Payment Date: 04/28/11
Household 28460
Monon Community Center Jinhui Chen Hm Ph: (317)565 -9830
Carmel IN 46032 12556 Glencove Ct
Carmel IN 46033 Cell Ph:
chen206@iupui.edu,chunhe@iupui.edu
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 1,243.00
Enrollee Name: Andrew Chen Fees +Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -10 Vacation Station 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/25/2011 (Cancelled)
Class Location: Clay Middle School Class Dates: 05/31 /2011 to 07/2912011
Clay Middle School 7:OOA to 6:OOP LL r
5150 East 126th Street M,Tu,W,Th,F
Carmel, IN 46033 Scheduled Sessions: 44 APR 9 2011
(317)84
Cancel Reason does not need camp
BY:
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/28/11 15:50:31 by JAB FEES CHANGED ON CANCELLED ITEMS 1,250.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
I (fb NET'AMOUNT FROM CANCELLED ITEMS 1 243.00
I TOTAL AMOUNT REFUNDED 1 243.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 1,243.00 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 cheek w6l be
i e_d. o cash or credit card refunds.
uthorized Signature Date Authorized Signature Date
Load up the kids, dig out your tents, and head over to West Park for our Family Campout. Campers will chow down on tasty
camping classics such as beans, hotdogs, and hamburgers. Then we will all enjoy family games, and a movie under the stars.
The film will be How to Train Your Dragon (PG). Night owls are then invited to join a late night hike around the park.
Participants must bring their own tent, bug spray, and flashlights we will provide the rest. Fee includes dinner, a light breakfast,
and all activities. Tent setup is between 4:30 and 6:00pm. Pre registration Is required. In case of inclement weather, the rain
date will be June 17 -18. Please call Sarah with any special requests due to allergies /vegetarian by May 27.
June 10 -11
4:30pm -11 am
$40 /family
West Park, 2700 W 116th Street
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.
Chen, Jinhui Terms
12556 Glencove Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/28111 609457 Refund 1,243.00
Total 1,243.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 10 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Chen, Jinhui Allowed 20
12556 Glencove Ct
Carmel, IN 46033
In Sum of
1,243.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT 41TITL AMOUNT Board Members
Dept
1082 -1 609457 4358400 1,24100 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
4-May 2011
�X��a C.N��� CiJYZP�CJ
Signature
1,243.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund