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Home My WebLink About201197 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365649 Page 1 of 1 ONE CIVIC SQUARE JOE EASTBURN CHECK AMOUNT: $8.00 CARMEL, INDIANA 46032 PO BOX 576 CARMEL IN 46082 CHECK NUMBER: 201197 CHECK DATE: 9/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 8.00 REFUND ACTIVITY REFUND RECEIPT Receipt 721604 Payment Date: 08/30/11 Household 3917 Monon Community Center Joe Eastburn Hm Ph: (317)846 -0135 Carmel IN 46032 P.O. Box 576 Wk Ph: (317)848 -0923 Carmel IN 46032 Cell Ph: Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 8.00 Enrollee Name: Kate Eastburn Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 119012 -02 20 mi -St. Vincent To 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 08/20/2011 (Cancelled) Primary Instructor: CCPR Staff Class Location: Parking Lot East Class Dates: 09/10/2011 to 09/10/2011 Monon Community Cntr 7:30A to 12:OOP Sa Carmel IN 46032 Scheduled Sessions: 1 (317)848 -7275 Cancel Reason: not going to be able to participate PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 08/30/11 20:04:55 by MJN FEES CHANGED ON CANCELLED ITEMS 8.00 NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT REFUNDED 8.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 8.00 Made By REFUND FINAN With Reference 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 Authorized Signature bate I D q4 �S qo /mac fdS +V"fa1S Mee'' hPS I C/o,- be (CA rm Join us for St. Vincent Tour de Carmel, a bike ride along 10 -mile and 20 -mile r utes 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 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. Eastburn, Joe Terms P.O. box 576 Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8130111 721604 Refund 8.00 >Total 8.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Eastburn, Joe Allowed 20 P.O. box 576 Carmel, IN 46032 In Sum of 8.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members Dept 1096 -60 721604 4358400 8.00 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 9 -Sep 2011 Signature 8.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund