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Home My WebLink About198692 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365431 Page 1 of 1 ONE CIVIC SQUARE JULIE PATTON CARMEL, INDIANA 46032 13242 ABBOTS PLACE CHECK AMOUNT: $70.00 CARMEL IN 46033 CHECK NUMBER: 198692 CHECK DATE: 6/2212011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 70.00 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt 614300 Payment Date: 05/13/11 Household 75 Monon Community Center Julie Patton Hm Ph: (317)580 -9123 Carmel IN 46032 13242 Abbots Place Carmel IN 46033 Cell Ph: Indypattonfamily @sbcglobal.net Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Pass Holder: Julie Patton Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH #125486 0.00 0.00 0.00 0.00 0.00 Valid Dates: 12/27/2010 to 12/27/2011 Pass Cancellation) Pass comments: Children must be age 11 or older to utilize the pools and /or gymnasium unaccompanied by an adult. Children ages 11 -13 may use Fitness Center, but must be under adullt supervision. Children must be age 14+ to utilize the Fitness Center without adult supervision. Cancel Reason: Membership was supposed to be only for 3 months as a gift. Refund of $70 will be sent by check approved by Recreation Manager Kurtis Baumgartner 5/12/11. notes by TDJ 5/13/11 CANCELLATION Refund Of 70.00 Pass Holder: Todd Patton Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH Mthly (M MCHHM), #125485 310.00 0.00 0.00 310.00 0.00 Valid Dates: 12/27/2010 to 12/27/2011 Pass Cancellation) cancel Reason: Membership was supposed to be only for 3 months as a gift. Refund of $70 will be sent by check approved by Recreation Manager Kurtis Baumgartner 5/12/11. notes by TDJ 5/13/11 CANCELLATION Pass Holder: Leah Patton Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH #125487 0.00 0.00 0.00 0.00 0.00 Valid Dates: 12/27/2010 to 12/27/2011 Pass Cancellation) Cancel Reason: Membership was supposed to be only for 3 months as a gift. Refund of $70 will be sent by check approved by Recreation Manager Kurtis Baumgartner 5/12/11. notes by TDJ 5/13/11 CANCELLATION Pass Holder: Jenna Patton Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH #125488 0.00 0.00 0.00 0.00 0.00 Valid Dates: 12/27/2010 to 12/27/2011 Pass Cancellation) Cancel Reason: Membership was supposed to be only for 3 months as a gift. Refund of $70 will be sent by check approved by Recreation Manager Kurtis Baumgartner 5/12/11. notes by TDJ 5/13/11 CANCELLATION Pass Holder: Lauren Patton Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH #125489 0.00 0.00 0.00 0.00 0.00 Valid Dates: 12/27/2010 to 12/27/2011 Pass Cancellation) Cancel Reason: Membership was supposed to be only for 3 months as a gift. Refund of $70 will be sent by check approved by Recreation Manager Kurtis Baumgartner 5/12/11. notes by TDJ 5/13/11 Page #1 PASS REFUND RECEIPT Receipt 614300 Payment Date: 05/13/2011 Household 75 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 05/13/11 11:16:11 by TDJ FEES CHANGED ON CANCELLED ITEMS 380.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 310.00 NET AMOUNT FROM CANCELLED ITEMS 70.00 TOTAL AMOUNT REFUNDED 70.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 70.00 Made By REFUND FINAN With Reference refund finance All refunds are subject to State Board of Accounts claim procedure and may t k eek to process. A check will be issued. No cash or credit card refunds. Authorized Signature Date /A ,15r' a Signat e D to 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 -1lam i L $40 /family I0gz LAY S 400 West Park, 2700 W 116th Street 7 0 777 d()N G R 2011 BY: Page 2 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. Patton, julie Terms 13242 Abbots Place Date Due Carmel, IN 46033 i Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/13/11 614300 Refund 70.00 Total 70.00 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 I I Voucher No. Warrant No. Patton, julie Allowed 20 13242 Abbots Place Carmel, IN 46033 In Sum of 70.00 i ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1092 614300 4358400 70.00 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 16 -Jun 2011 Signature 70.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund