HomeMy WebLinkAbout198198 06/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 365388 Page 1 of 1
ONE CIVIC SQUARE PATRICIA MCKEARNEY CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 12484 BURKE DRIVE
CARMEL IN 46032 CHECK NUMBER: 198198
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 15.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 618644
Payment Date: 05/19/11
Household 5088
Moron Community Center Patricia Mckearney Hm Ph: (317)810 -9231
Carmel IN 46032 12484 Burke Drive Wk Ph: (517)881 -5608
Carmel IN 46032 Cell Ph: (517)881-5608
m
Phone: (317)848 -7275 pmckearney @yahoo.co
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Patricia Mckearney Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 114808 -01 Nutrition Labels 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/14/2011 (Cancelled
Primary Instructor: CCPR Staff
Class Location: Computer Lab Class Dates: 05/23/2011 to 05/23/2011 T K
Monon Community Cntr 6:OOP to 7:OOP
M I
Carmel IN 46032 Scheduled Sessions: 1 M AY t?jQ1
(317)848 -7275
Cancel Reason: Low enrollment Y^
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 05119(11 08:22:14 by LWW FEES CHANGED ON CANCELLED ITEMS 15.00
�NETwAMOUNT F.ROm'cANCEILLED'IT,EMSr`" 15:00
p 2MVU Mn. n TOTALAMOUNI REFUNDED' 15:00:
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 1 5.00 M ade By REFUND FINAN With Reference Check refund
All refunds are subject to State Board of Accounts claim procedure and may take s process. A check will be.
issued. No cash or credit card refunds.
Lyd& /2 6
Authorized Signature i �DaateU 4 Authori ed ignat Dafte
0C)
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
$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.
McKearney, Patricia Terms
12484 Burke Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5119111 618644 Refund 15.00
Total 15.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
McKearney, Patricia_ Allowed 20
12484 Burke Drive
Carmel, IN 46032
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1096 -22 618644 4358400 15.00 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
2 -Jun 2011
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund