HomeMy WebLinkAbout197850 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365303 Page 1 of 1
ONE CIVIC SQUARE MARY UMINSKI CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 14072 SONG CT
o CARMEL IN 46032 CHECK NUMBER: 197850
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 610612 80.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 610612
Payment Date: 05/02/11
Household 41805
Monon Community Center Mary Uminski Hm Ph: (317)844 -4536
Carmel IN 46032 14072 Song Ct
Carmel IN 46032 Cell Ph: (317)627 -5654
Phone: (317)848 -7275 mju45 @sbcglobal.net
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 80.00
Enrollee Name: Mary Uminski 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: 04/1912011 (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 14:44:31 by LWW FEES CHANGED ON CANCELLED ITEMS 80.00-
NET AMOUNT FROM CANCELLED ITEMS 80.00
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 cas or credit card refunds.
5.2.1
Authorized Signature Date Authori d Signature Date
1()q&. 2 Z.�3�g o
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 by May 27.
June 10 -11
4:30pm -1 lam y Rl
$40 /family
West Park, 2700 W 116th Street PAY 6
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,
Uminski, Mary Terms
14072 song Ct Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
512111 610612 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.
Uminski, Mary Allowed 20
14072 song Ct
Carmel, IN 46032
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 610612 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
Is 80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund