HomeMy WebLinkAbout199041 07/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 365445 Page 1 of 1
ONE CIVIC SQUARE SHERRY HARPER
I CARMEL, INDIANA 46032 6523 RED CEDAR WAY CHECK AMOUNT: $27.00
CARMEL IN 46033 CHECK NUMBER: 199041
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 27.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 643741
Payment Date: 06/16/11
Household 16476
Monon Community Center 2011 Sherry Harper Hm Ph: (317)566 -0444
Carmel IN 46032 6523 Red Cedar Way Wk Ph: (317)843 -9475
Carmel IN 46033 Cell Ph:(317)413 -5809
Phone: (317)$48 -7275 B royharper @sbcglobal.net
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 27.00
Enrollee Name: Andrew Harper Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 117800 02 Community CPR- Adult 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/26/2011 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Conference Room East Class Dates: 06/14/2011 to 06/16/2011
Monon Community Cntr 5:OOP to 8:30P
Tu,Th
Carmel, IN 46032 Scheduled Sessions: 2
(317)848 -7275
Cancel Reason: Low Enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/16/11 11:20:42 by JEO FEES CHANGED ON CANCELLED ITEMS 27.00
NET. AMOUNT "CANCELLED`ITEMS 27.00
TOTAL AMOUNT REFUNDED 27.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 27.00 Made By REFUND FINAN With Reference
All r fu ds are subject to State Board of Accounts claim procedure and ma -6 w ks to process. A check will be
issu No cash credit card refunds.
(S I lA I I
A orized igna a Date t red Sig lure Date
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.
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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.
Harper, Sherry Terms
6523 Red Cedar Way Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/16/11 643741 Refund 27.00
Total 27.00
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.
Harper, Sherry Allowed 20
6523 Red Cedar Way
Carmel, IN 46033
In Sum of
27.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 643741 4358400 27.00 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
Signature
27.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund