HomeMy WebLinkAbout198507 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365426 Page 1 of 1
ONE CIVIC SQUARE JOHN FOX CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 5259 APACHE MOON
CARMEL IN 46033 CHECK NUMBER: 198507
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1096 4358400 15.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 631528
Payment Date: 06/07/11
Household 30364
Monon Community Center John Fox Hm Ph: (317)573 -9573
Carmel IN 46032 5259 Apache Moon Wk Ph: (317)441 -2975
CARMEL IN 46033 Cell Ph:
Phone: (317)848 -7275 JLF16 @MSN.COM
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Shelly Veverka Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 114808 -02 Nutrition Labels 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/20/2011 (Cancelled)
Class Location: Computer Lab Class Dates: 06/13/2011 to 06/13/2011
Monon Community Cntr 6:OOP to 7:OOP
M
Carmel IN 46032 Scheduled Sessions: 1
(317)848 -7275 j E_� 4j 201
Cancel Reason: Low enrollment
BY:
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/07/11 08:36:18 by LWW FEES CHANGED ON CANCELLED ITEMS 15.00
NETAMOUNT FROM CANCELLED
TOTAL AMOUNT REFUNDED -2
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 15.00 Made By REFUND FINAN With Reference Check refund
All refunds are subject to State Board of Accounts claim procedure and may take weeks process. A check will be
issued No cash or credit card refunds.
Authorized Signature Date A th zed Sign re Date
lo9(o.22.4f 36 ?400
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 -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.
Fox, John Terms
5259 Apache Moon Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/7/11 631528 Refund 15.00
Total 15.00
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.
Fox, John Allowed 20
5259 Apache Moon
Carmel, IN 46033
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 631528 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
16 -Jun 2011
T &iAmmo
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund