HomeMy WebLinkAbout198702 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365428 Page 1 of 1
ONE CIVIC SQUARE DUAN PIERCE
I CHECK AMOUNT: $81.00
CARMEL, INDIANA 46032 5561 TRAMMEL CT
CARMEL IN 46033 CHECK NUMBER: 198702
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 631565 81.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 631565
Payment Date: 06/07/11
Household 37665
Monon Community Center Duan Pierce Hm Ph: (317)417 -4573
Carmel IN 46032 5561 Trammel Court
Carmel IN 46033 Cell Ph:
asaylor50@hotmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 36.00
Enrollee Name: Olivia Pierce Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 115011 01 Tiny -Hawk Basketball 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/27/2011 (Cancelled)
Class Location: Gymnasium B Class Dates: 06/09/2011 to 06/30/2011 r t 1 cTc
J
Monon Community Cntr 4:OOP to 5:OOP o
Th
Carmel, IN 46032 Scheduled Sessions: 4 0 rg 20
(317)848 7275
Cancel Reason: advanced request BY:
CANCELLATION Refund Of 45.00
Enrollee Name: Olivia Pierce Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 115259 -03 Preschool Tumble Tyk 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/27/2011 (Cancelled)
Class Location: Party Rooms A B Class Dates: 06/08/2011 to 06/29/2011
Monon Community Cntr 7:OOP to 7:30P 0
W (J
Carmel IN 46032 Scheduled Sessions: 4 0 8 ZQi
(317)848 -7275
Cancel Reason: advanced request BY.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/07/11 10:24:33 by LVA FEES CHANGED ON CANCELLED ITEMS 95.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
NET AMOUNT FROM CANCELLED'ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 81.00.
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 81.00 Made By REFUND FINAN With Reference advanced request
All refunds are subject to State Board of Accounts claim procedure and may t weeks o process. A check will be
issued No cash or credit card refunds.
11
Authorized Sig t e ate Autho d ed Si ature to
1 aO O Page 1
o C� oe5 Ce j l ed �I'I C C
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.
Pierce, Duan Terms
5561 Trammel Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/7/11 631565 Refund 81.00
Total 81.00
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.
Pierce, Duan Allowed 20
5561 Trammel Court
Carmel, IN 46033
In Sum of
81.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 631565 4358400 81.00 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
D 1722
Signature
81.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund