HomeMy WebLinkAbout199740 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 364329 Page 1 of 1
ONE CIVIC SQUARE LISA XU
CHECK AMOUNT: $140.00
CARMEL, INDIANA 46032 8354 GLENWILLOW LANE, APT 101
y� o INDIANAPOLIS IN 46278 CHECK NUMBER: 199740
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 140.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 669617
Payment Date: 07/11/11
Household 33682
Monon Community Center Lisa Xu Hm Ph: (317)697 -5263
Carmel IN 46032 8354 Glenwillow Lane apt 101
Indianapolis IN 46278 Cell Ph:
lisax09@gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 140.00
Enrollee Name: Lisa Xu Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 117220 01 Digital Photography 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/13/2011 (Cancelled)
Primary Instructor: Dario Impini Photo
Class Location: Computer Lab Class Dates: 07/13/2011 to 08/17/2011
Monon Community Cntr 6:30P to 7:30P
W
Carmel IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: Low Enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/11/11 15:28:26 by JEO FEES CHANGED ON CANCELLED ITEMS 140.00
NET AMOUNT FROM CANCELLED ITEMS 140.00-
TOTAL AMOUNT REFUNDED 140.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 140.00 Made By REFUND FINAN With Reference Low Enrollment
All r fu ds are subj ct to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu o cash or re it card refunds. 1 j
ZY l of I fit(, 7 I o o
Author ed Sign tur Date Authorized Sign re Date
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!
10 q c�• 50. b4c>o
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.
Xu, Lisa Terms
8354 Glenwillow Lane apt 101 Date Due
Indianapolis, IN 46278
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/11111 669617 Refund 140.00
Total 140.00
I 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.
Xu, Lisa Allowed 20
8354 Glenwillow Lane apt 101
Indianapolis, IN 46278
In Sum of
140.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#/T1TLE AMOUNT Board Members
Dept
1096 -50 669617 4358400 140.00 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
13 -Jul 2011
Signature
140.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund