HomeMy WebLinkAbout198932 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365444 Page 1 of 1
ONE CIVIC SQUARE ANN BUTWIN
CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 13822 SILVER STREAM
r„ o CARMEL IN 46032 CHECK NUMBER: 198932
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 55.00 REFUND
i
ACTIVITY REFUND RECEIPT
Receipt 650990
Payment Date: 06/28/11
Household 40572
Monon Community Center Ann Butwin Hm Ph: (317)844 -0586
Carmel IN 46032 13822 Silver Stream
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275 rbutwin @indy.rr.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 55.00
Enrollee Name: Ann Butwin Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 114420 -01 Beginning Tai Chi 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/01/2011 (Cancelled)
Class Location: Dance Studio Class Dates: 07/05/2011 to 07/26/2011
Monon Community Cntr 8:OOP to 9:30P
Tu
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/28/11 11:36:38 by LWW FEES CHANGED ON CANCELLED ITEMS 55.00
NET AMOUNT FROM CANCELLED ITEMS 55.00=
:TOTAL AMOUNT REFUNDED 55.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 55.00 Made By REFUND FINAN With Reference Check refund
All refunds are subject to State Board of Accounts claim procedure and may take eeks process. A check will be
issued. No cash or credit card refunds.
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Authorized Signature Date A on igna re D to
Kids, get your parents to take you to our Touch a Truck event. There are a ton of amazing trucks and vehicles onsite for you to
explore. You can run around them, climb on them, and honk their horns. How cool is that This event is held rain or shine and
will take place on Wednesday, July 27 from 10am -12pm at the Carmel High School Stadium (136th Street, west of Keystone).
The fee is $2 /child and registration must be completed online at www.carmelclayparks.com prior to the event. It's a great
event; you do not want to miss out!
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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.
Butwin, Ann Terms
13822 Silver Stream Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/28/11 650990 Refund 55.00
Total 55.00
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.
Butwin, Ann Allowed 20
13822 Silver Stream
Carmel, IN 46032
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 650990 4358400 55.00 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
30 -Jun 2011
i
p
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund