HomeMy WebLinkAbout199906 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 365514 Page 1 of 1
q ONE CIVIC SQUARE MELISSA ERICKSON CHECK AMOUNT: $16.25
CARMEL, INDIANA 46032 9677 SUMMERLAKES DRIVE
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CARMEL IN 46032 CHECK NUMBER: 199906
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1096 4358400 16.25 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 690819
Payment Date: 07/26/11
Household 24380
Monon Community Center Melissa Erickson Hm Ph: (317)571 -1301
Carmel IN 46032 9677 Summeriakes Dr.
Carmel IN 46032 Cell Ph:
melissage6Gkson@yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment. Details
ROSTER CHANGE Refund Of 16.25
Enrollee Name: Matthew Erickson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 115114 -01 Kindenmusik Let's 48.75 0.00 48.75 0.00 0.00
Enrollment Date: 04/02/2011 (Enrolled)
Class Location: Meeting Room Class Dates: 07/01/2011 to 07/22/2011
Monon Community Cntr 10:20A to 11:OOA_
F pt�,� Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275 J 2 r. 2 01
BY:
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/26/11 09:23:29 by CNA FEES ADJUSTED ON CHANGED ITEMS 16.25
.NET 'AMOUNT FROM CHANGED ITEMS 16.25-
TOTAL AMOUNT REFUNDED:,- ":16:25
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 16.25 Made By REFUND FINAN With Referenoe instructor 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.
��waw OL&I 712WI I
-bill
Autho zed Signature Date ®uthoriz S"ture ate
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.carmelclayparks.com prior to the event. It's a great
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.
Erickson, Melissa Terms
9677 Summerlakes Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/26111 690819 Refund 16.25
Total 16.25
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.
Erickson, Melissa Allowed 20
9677 Summeriakes Dr
Carmel, IN 46032
In Sum of
16.25
ON ACCOUNT OF APPROPRIATION FOR
1'09 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 690819 435$400 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
fb" 4 MV2ZL
Signature
16.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund