HomeMy WebLinkAbout201357 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 363765 Page 1 of 1
ONE CIVIC SQUARE CLAIRE OSBORNE
CARMEL, INDIANA 46032
10428 HIGH GROVE CHECK AMOUNT: $118.00
CARMEL IN 46032 CHECK NUMBER: 201357
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 118.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 721653
Payment Date: 08/31/11
Household 12432 11 9 R C 8 1 a`7
Morton Community Center Claire Osborne Hm Ph: (317)818 -9692
Carmel IN 46032, 5EP 0 1 2011 10428 High Grove
Carmel IN 46032 Cell Ph:
claire.osborne@ sbcgiobal.net,claire.tay@ sbcglobal.net,clairecosborn
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 118.00
Enrollee Name: Claire Osborne Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 217219 -01 Digital Photography 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 08/16/2011 (Cancelled)
Primary Instructor: Dario Impini Photo
Class Location: Pool Observation Rm Class Dates: 09/06/2011 to 10/11/2011
Monon Community Cntr 6:15P to 7:15P
Tu
Carmel IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/31111 08:32:58 by MML FEES CHANGED ON CANCELLED ITEMS 125.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED ITEMS 118.00
TOTAL AMOUNT REFUNDED 118.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 118.00 Made By REFUND FINAN With Reference advanced request
This refund will be mailed to
All refunds §re subje t to State Board of Accounts claim procedure and may tak -6 w eks to process. A check will be
issued. ash r edit c d refunds.
8 ?r I( 83r re
Authorized S nature Date Auth zed Si nature Date
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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.
Osborne, Claire Terms
10428 High Grove Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
118.00
8131111 721653 Refund
Total 118.00
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.
Osborne, Claire Allowed 20
10428 High Grove
Carmel, IN 46032
In Sum of
118.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 721653 4358400 118.00 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
118.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund