HomeMy WebLinkAbout199505 07/20/2011 a CITY OF CARMEL, INDIANA VENDOR: 365483 Page 1 of 1
ONE CIVIC SQUARE SCOTT HARRIS
CHECK AMOUNT: $47.00
CARMEL, INDIANA 46032 2864 SOUTHSIDE DR
TROH OH 45373 CHECK NUMBER: 199505
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 47.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 661479
Payment Date: 07/06/11
ja r ii cs� ;13 7 Household 33404
J UL Q 7 .2011 .I
Monon Community Center Scott Harris Hm Ph: (937)266 -5392
Carmel IN 46032 BY: 2864 Southside Dr.
Troy OH 45373 Cell Ph:
sonline2112 earthlink.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 47.00
Enrollee Name: Scott Harris Fee s+ Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 117600 -01 The MCC Summer Open 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/05/2011 (Cancelled)
Class Location: Gymnasium A Class Dates; 07/16/2011 to 07/16/2011
Monon Community Cntr 8:OOA to 7:OOP
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/06111 10:14:41 by MML FEES CHANGED ON CANCELLED ITEMS 47.00
NET 'AMOUNTFROMtCANCELLED?ITEMS' 47.00-
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 47.00 Made By REFUND F With Reference Advanced Request
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 c h or credit card refunds.
Aut onzed Signature DA uthori ed Signature D e
x 55 4�Da
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 $2/child and registration must be completed online at www.carmelclayparks.com prior to the event. It's a great
event; you do not want to miss out!
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Harris, Scott Terms
2864 Southside Dr. Date Due
Troh, OH 45373
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6111 661479 Refund 47.00
Total 47.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Harris, Scott Allowed 20
2864 Southside Dr.
Troh, OH 45373
In Sum of$
47.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 661479 4358400 47.00 1 hereby certify that the attached invoice(s), or
bitl(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
13 -Jul 2011
Signature
47.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund