HomeMy WebLinkAbout199664 07/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365487 Page 1 of 1
e ONE CIVIC SQUARE ELIZABETH RUDOPLH
CARMEL, INDIANA 46032 481 W PINE DRIVE CHECK AMOUNT: $150.00
«o INDIANAPOLIS IN 46260 CHECK NUMBER: 199664
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 150.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 659099
Payment Date: 07/04/11
Household 18276
Monon Community Center Elizabeth Rudolph Hm Ph: (317)846 -2751
Carmel IN 46032 481 W. Pine Drive Wk Ph: (317)694 -4971
Indianapolis IN 46260 Cell Ph:
elizabeth_rudolph @comcast.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 150.00
Enrollee Name: Will Rudolph Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 116332 -01 Jason Gardner's Camp o.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/31/2011 (Cancelled)
Primary Instructor: Jason Gardner
Class Location: Gymnasium Whole Class Dates: 07/05/2011 to 07/09/2011
Monon Community Cntr 9:OOA to 12:00P
Tu,W,Th,F,Sa
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: Contractor Complication
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/04/11 11:05:23 by JEO FEES CHANGED ON CANCELLED ITEMS 150.00
NET AMOUNT FROWCANCELLED ITEMS 150:00
TOTAL AMOUNT REFUNDED 150.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 150.00 Made By REFUND FINAN With Reference Contractor Complicat
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 cash or credit card refunds.
Authorized Signature Date Autho i a Shat a Da e
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 1Oam -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.c m- prior- It'sa great ivi 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.
Rudolph, Elizabeth Terms
481 W. Pine Drive Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
714!11 659099 Refund 150.00
Total 150.00
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.
Rudolph, Elizabeth Allowed 20
481 W. Pine Drive
Indianapolis, IN 46260
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 659099 4358400 1 50.00 I 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
13 -Jul 2011
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund