HomeMy WebLinkAbout200568 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 365614 Page 1 of 1
ONE CIVIC SQUARE TERESA PARSLEY
CARMEL, INDIANA 46032 1386 N OLIVE CHURCH DR CHECK AMOUNT: $40.00
.o PARAGON IN 64166 CHECK NUMBER: 200568
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 40.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 707311
Payment Date: 08/08/11
Household 20333
lonon Community Center Teresa Parsley Hm Ph: (765)537 -9123
armel IN 46032 1386 N Olive Church Dr
Paragon IN 64166 Cell Ph: (765)828 -4212
parsleyinc @aol.com
hone: (317)848 -7275
ed Tax ID #35- 6000972
nrollment Details
ROSTER CHANGE Refund Of 40.00
Enrollee Name: Garrett Parsley Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 118200 -02 Adaptive Private Swi 160.00 0.00 160.00 0.00 0.00
Enrollment Date: 07/18/2011 (Enrolled)
Class Localion; Ind Lesiure 6 Class Dates: 07/0512011 to 08/3112011
Monon Community Cntr 12:OOA to 12:OOA
M,Tu,W,Th
Carmel, IN 46032 Scheduled Sessions: 34
(317)848-7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/08/11 15:09:53 by BNT FEES ADJUSTED ON CHANGED ITEMS 40.00
.NET:AMOUNT FROM CHANGED.ITEM5,::.
[TOTAL-AMOUNT-REFUNDED. 40.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By REFUND FINAN With Reference Check
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 uthoriz d Si nature Date
Join us for St. Vincent Tour de Carmel, a bike ride along 10 -mile and 20 -mile routes through the city of Carmel. Rest stops will
have a variety of healthy snacks, drinks and entertainment. After the ride, the finish line will offer more entertainment and
refreshments. The cost is $8 per rider ($10 for same dayday -of registration). Pre- register online at www.carmeIC12yparks.com
or pick up a form at the Monon Community Center. All participants will receive a goodie bag and a T -shirt if registered on or
before August 26.
The Adaptive 10 -mile Ride is for individuals with special needs only_ individuals will ride as a group on the 10 -mile route. Staff
will be staggered within the group throughout the ride. Group will meet at the Monon Community Center In the designated tent
at the start line for check -in at 8:00 a.m. Group will begin the ride at 8:30 a.m. sharp,
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Parsley, Teresa Terms
1386 N Olive Church Dr Date Due
paragon, IN 64166
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
818111 707311 Refund 40.00
Total 40.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Parsley, Teresa Allowed 20
1386 N Olive Church Dr
paragon, IN 64166
In Sum of$
40.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -70 707311 4358400 40.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
9 -Aug 2011
Signature
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund