HomeMy WebLinkAbout197839 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365301 Page 1 of 1
ONE CIVIC SQUARE MARK TEETER
CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 924 EAGLECOURT
ZIONSVILLE IN 46077 CHECK NUMBER: 197839
CHECK DATE: 5/2612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 610450 80.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 610450
Payment Date: 05/02/11
Household 30550
Monon Community Center Mark Teeter Hm Ph: (317)769 -3466
Carmel IN 46032 924 Eaglecourt
Zionsville IN 46077 Cell Ph:
Phone: (317)848 -7275 teetermk3@hotmail.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 80.00
Enrollee Name: Kelly Teeter 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: 04/11/2011 (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 05/02111 11:50:24 by LWW FEES CHANGED ON CANCELLED ITEMS 80.00-
NET -AMOUNT�FROM,CANCELLED'ITEMS' ,8000
`TOTAL:4MOUN7 REFUNDED 811:00
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 cas or cr dit card refunds.
Authorized Nnature Date uthorized �ignaty e Date
I og x.12. .1243594-00
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 MaT27! =�jj
June 10 -11
4:30pm -1 lam
$40 /family 'WAY 1 6 2011
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.
Teeter, Mark Terms
924 Eaglecourt Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/11 610450 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 IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Teeter, Mark Allowed 20
924 Eaglecourt
Zionsville, IN 46077
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 610450 4358400 80.00 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
19 -May 2011
Signature
80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund