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Home My WebLink About197824 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: T356938 Page 1 of 1 `j ONE CIVIC SQUARE JAMES SPILLER CHECK AMOUNT: $80.00 CARMEL, INDIANA 46032 3113 CURRY LANE CARMEL IN 46033 CHECK NUMBER: 197824 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 610449 80.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 610449 Payment Date: 05/02/11 Household 13054 Monon Community Center James Spiller Hm Ph: (317)575 -0073 Carmel IN 46032 3113 Curry Lane Carmel IN 46033 Cell Ph: (317)840 -0949 Phone: (317)848 -7275 sgspiller @hotmail.com Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 80.00 Enrollee Name: Shelbie Spiller Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 114707 -01 MCC Weight Loss Chal 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/12/2011 (Cancelled) Class Location: No Room Needed Class Dates: 05/04/2011 to 07/06/2011 Monon Community Cntr 5:30P to 7:OOP W Carmel, IN 46032 Scheduled Sessions: 10 (317)848 -7275 Cancel Reason: Low enrollment PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 05/02/11 11:45:59 by LWW FEES CHANGED ON CANCELLED ITEMS 80.00 &v" NET AMOUNT FROM CANCELLED ITEMS 80.00 &M)tMkX TOTAL AMOUNT REFUNDED. 80.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 80.00 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 issued. No cash or credit card refunds. J��iUW `UV 1 51.11 Authorized Signature Date Aut orize ignature Date 100 (o. '2- 2.. �4- 3�g 40o 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:OOpm. 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 May_.27. June 10 -11 i $40/f mily ily MAY 1 6 oil l $40 /fa LY 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. Spiller, James Terms 3113 Curry Lane Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 512111 610449. Refund 80.00 Total 80.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IG 5- 11- 10 -1.6 ,20 Clerk Treasurer Voucher No. Warrant No. Spiller, James Allowed 20 3113 Curry Lane Carmel, IN 46033 In Sum of 80.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1096 -22 610449 4358400 80.00 I 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 19 -May 2011 Signature 80.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund