HomeMy WebLinkAbout198550 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365387 Page 1 of 1
ONE CIVIC SQUARE LINDA HANEY CHECK AMOUNT: $40.00
r' CARMEL, INDIANA 46032 6472 NORTHVIEW DRIVE
MCCORDSVILLE IN 46055 CHECK NUMBER: 198550
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 40.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 627380
Payment Date: 06/03/11
Household 23763
Monon Community Center �hd� Neil X7e wl e Hm Ph: (317 )815 -0583
Carmel IN 46032 1081ck Dr Wk Ph: (317)872 -8400
N ar 46033 Cell Ph: (317)
Phone: (317)848 -7275 I "yi i2u�
Fed Tax ID #35- 6000972 I k I N y bo55
Enrollment Details
CANCELLATION Refund Of 40.00
Enrollee Name: Linda Hazelgrove Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 114525 -01 Women -Only Strength 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/10/2011 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Fitness Center Class Dates: 06/06/2011 to 06/20/2011 f r
Monon Community Cntr 5:30P to 6:301
M
Carmel IN 46032 Scheduled Sessions: 3
(317)848 7275 t �('i Pr 2011
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/03/11 08:05:46 by LWW FEES CHANGED ON CANCELLED ITEMS 40.00
NET AMOUNT FROM CANCELLED ITEMS 40.00=
c do L. T Cr -uhu ?U TOTAL AMOUNT REFUNDED 40.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By REFUND FINAN With Reference Check refund
All refunds are subject to State Board of Accounts claim procedure and may take 4- s to ocess. A check will be
issued. No cash or credit card refunds.
D
Authorized Signature Date ,Autho ed atur Dat
Ioqu 22. �358goo
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.
Haney, Linda Terms
6472 Northview Dr. Date Due
McCordsville, IN 46055
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/3111 627380 Refund 40.00
Total 40.00
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- 14 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Haney, Linda Allowed 20
6472 Northview Dr.
McCordsville, IN 46055
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 627380 4358400 40.00 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
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund