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Home My WebLink About198754 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365191 Page 1 of 1 ONE CIVIC SQUARE GIZELA SIAS CARMEL, INDIANA 46032 1149 PASSEY LANE, BLDG 1 CHECK AMOUNT: $132.00 LANCASTER PA 17603 CHECK NUMBER: 198754 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 638677 132.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 638677 Payment Date: 06/13/11 Household 24177 Monon Community Center Gizela Sias Hm Ph: (317)407 -3493 Carmel IN 46032 1449 Passey Lane Building I Cell Ph: Lancaster PA 17603 Phone: (317)848 -7275 gissias @gmail.com Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 48.00 Enrollee Name: Ella Sias Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 113008 -24 Learn to Swim Lvl 3 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 05/14/2011 (Cancelled) Class Location: Indoor Lap Pool 3 Class Dates: 06/21/2011 to 06/30/2011 Monon Community Cntr 5:05P to 6:OOP Tu,Th Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: Advanced Request CANCELLATION Refund Of 42.00 Enrollee Name: Oliver Sias Fees Tax Discount Prey Paid Cur Paid Amount Due Activity Number: 113004 -27 Preschool Level 2 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 05/14/2011 (Cancelled) Class Location: Ind Leisure 3 Class Dates: 06/21/2011 to 06/30/2011 Monon Community Cntr 5:15P to 6:OOP Tu,Th Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: Advanced Request CANCELLATION Refund Of 42.00 Enrollee Name: Dante Sias Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 113004 -27 Preschool Level 2 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 05/14/2011 (Cancelled) Class Location: Ind Leisure 3 Class Dates: 06/21/2011 to 06/30/2011 Monon Community Cntr 5:15P to 6:OOP Tu,Th Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: Advanced Request Page 4 1 ACTIVITY REFUND RECEIPT Receipt 638677 Payment Date: 06/13/2011 Household 24177 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 06/13/11 13:34:01 by ERM FEES CHANGED ON CANCELLED ITEMS 139.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00 ��i�, f NET�AMOUNT�F .ROMaCL1NCEL "LED!ITEMS 13200 FitTiO7ALt ;AMQUNTmREFUNDED`,_. 13200` NEW NET HOUSEHOLD BALANCE 0.00 Refund of 132.00 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 cash or credit card refunds. G Authorized Signature Date Authorized Signature Date lo9' G.�o. y3s'SYc�c� Due to unpredictable weather throughout the night, Family Campout has been cancelled and will be postponed until next Friday, June 17 -18. Still interested? Signups will be accepted through Thursday, June 16. If you are unable to attend because of the change, please call Sarah at 317.573.5243. �.6 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. Sias, Gizela Terms 1449 Passey Lane, Bldg. 1 Date Due Lancaster, PA 17603 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6113111 638677 Refund 132.00 Total 132.00 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. Sias, Gizela Allowed 20 1449 Passey Lane, Bldg. 1 Lancaster, PA 17603 In Sum of 132.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -10 638677 4358400 132.00 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 132.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund