HomeMy WebLinkAbout200935 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 365634 Page 1 of 1
ONE CIVIC SQUARE KAREN LAHR
i'. CARMEL, INDIANA 46032 C/O PARKS CHECK AMOUNT: $150.00
CHECK NUMBER: 200935
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 150.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 715987
Payment Date: 08/17/11
Household 39096
Monon Community Center Karen Lahr Hm Ph: (317)663 -4996
Carmel IN 46032 1433 West Main St
Carmel IN 46032 Cell Ph:
karenwlahr@gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
Enrollee Name: Nolan Lahr Fees Tax Discount Prev Paid Cur Paid Amount DWe
Activity Number: 113020 -02 WSl Course 85.00 0.00 0.00 85.00 0.00
Enrollment Date: 08/17/2011 (Enrolled Transfer from 313020 -01 (WSI Class))
Class Location. Multi- Purpose Room Class Dates: 08/20/2011 to 08/28/2011
Monon Community Cntr 9:OOA to 6:OOP
U,Sa
Carmel, IN 46032 Scheduled Sessions: 4 3
(317)848 -7275 a
AUG 1 1011
Special Questions: Check if this is a Guest Registration: No
Check if this is an Employee Registration: Yes
a
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/17/11 14:13:32 by ERM FEES ADJUSTED ON CHANGED ITEMS 150.00
NET-AMOUNT FROM.CHANGED ITEMS 150.00
C�G TOTAL AMOUNT.RE 150.00
1pe. k t
Af NEW NET HOUSEHOLD BALANCE 0.00
Refund of 150.00 Made By REFUND FINAN With Reference Check Refund
Payment of 85.00 Made By Activity Registration Credit Balance
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.
&11'71
Authorized Signature Date Authorized Signature Date
le 76 !a• /3s bVvc:)
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.carmelclayparks.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.
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.
Lahr, Karen Terms
1433 West Main St Date Due
Carmel, IN 46032
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/17111 715987 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.
Lahr, Karen Allowed 20
1433 West Main St
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #frITl-E AMOUNT Board Members
Dept
1096 -10 715987 4358400 150.00 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
26 -Aug 2011
Arhjpnn yh
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I