HomeMy WebLinkAbout199885 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 365513 Page 1 of 1
ONE CIVIC SQUARE LISA CORNWELL
s•, io CARMEL, INDIANA 46032 810 BURGESS HILL PASS CHECK AMOUNT: $16.25
WESTFIELD IN 46074 CHECK NUMBER: 199885
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 16.25 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 690817
Payment Date: 07/26/11
Household 30636
Monon Community Center Lisa Cornwell Hm Ph: (317)362 -9630
Carmel IN 46032 810 Burgess Hill Pass
Westfield IN 46074 Cell Ph:
mlcl209@gmaii.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 16.25
Enrollee Name: Kaitlyn Cornwell Fees Tax Disoount Prev Paid Cur Paid Amount Due
Activity Number. 115114 -01 Kindennusik Let's 48.75 0.00 4$75 0.00 0,00
Enrollment Date: 06/21/2011 (Enrolled)
Class location: Meeting Room Class Dates: 07/01/2011 to 07/22/2011
Monon Community Cntr 10:20A to 11:001A
F
Carmel, IN 46032 Scheduled Sessions: 4
(317)84$ -7275 rT 2011
BY:
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/26/11 09.20.59 by CNA FEES ADJUSTED ON CHANGED ITEMS 1625-
NET`AMOUNT FROM CHANGED ITEMS 16:25-
TOTAL AMOUNT REFUNDED. 1635'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 16.25 Made By REFUND FINAN With Reference instnx:tor no show
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.
`7 ll 7 261 11
Authoriz Signature Dite 5igr►ature 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 1child and registration must be completed online at www.carmeldayparks.com prior to the event. It's a great
event; you do not want to miss out!
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U W ty h r �4i I CLS (lau5S 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.
Cornwell, Lisa Terms
810 Burgess Hill Pass Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
16.25
7/26/11 690817 Refund
Total 16.25
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.
s:
Cornwell, Lisa Allowed 20
810 Burgess Hill Pass
Westfield, IN 46074
In Sum of
16.25
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -32 690817 4358400 16.25 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
27 -Jul 2011
2bj 00g2?11-neh)
Signature
16.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund