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HomeMy WebLinkAbout201417 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365652 Page 1 of 1 ONE CIVIC SQUARE CARRIE SMEREK 0 CHECK AMOUNT: $118.00 CARMEL, INDIANA 46032 16253 CHANCELLORS RIDGE WAY WESTFIELD IN 46062 CHECK NUMBER: 201417 CHECK DATE: 9113/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 118.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 719151 Payment Date: 08/25/11 Household 9947 Monon Community Center Carrie Smerek Hm Ph: (317)896 -6519 Carmel IN 46032 16253 Chancellors Ridge Way Westfield IN 46062 Cell Ph: jsmerekl@netzero.net Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 118.00 Enrollee Narne: Claire Smerek Fees Tax Discount Prey Paid Cur Paid Amount Due Activity Number. 215013 -02 Lil' Kicker -Hopper 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 0811812011 (Cancelled) Class Location: I nlow Park Field 2 Class Dates: 09/01/2011 to 11/03/2011 Inlow Park 11:30A to 12:20P 6310 E. 131st Street. Th Carmel, IN 46032 Scheduled Sessions: 10 AG 3 0 1Q11 b (317)848 -7275 �U. C ancel Reason: advanced request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 08125/11 11:52:311 by CNA FEES CHANGED ON CANCELLED rrEMS 125.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00 NETAMOUNT:FROM CANCELLED ITEMS: 118:00- TOTAL AMOUNT REFUNDED..118:OD;. NEW NET HOUSEHOLD BALANCE 0.00 Refund of 118.00 Made By REFUND FINAN With Reference advanced request 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. 01& 1 k S 5 I I Au odzed Signature Date ed S ture 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 ($10 for same- dayday -of registration). Pre- register online at www.carmelclayparks.com or pick up a form at the Monon Community Center. All participants will receive a goodie bag and a T -shirt if registered on or before August 26. The Adaptive 10 -mile Ride is for individuals with special needs only. Individuals will ride as a group on the 10 -mile route. Staff will be staggered within the group throughout the ride. Group will meet at the Monon Community Center in the designated tent at the start line for check -in at 8:00 a.m. Group will begin the ride at 8:30 a.m. sharp. 09 (9.3a Y 35TLI advanced re9tkest.. biu, d wt(( be- 'in Qreschwl at +hr 5cLme -Hrvte n.s 4+Lis Pa #1 Soccer Mass ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Smerek, Carrie Terms 16253 Chancellors Ridge Way Date Due Westfield, IN 46062 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 118.00 8125/11 719.151 Refund E' x Total 118.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with Ic 5- 11- 10 -1.6 .t. 1 20 Clerk- Treasurer Voucher No. Warrant No. Smerek, Carrie Allowed 20 16253 Chancellors Ridge Way Westfield, IN 46062 In Sum of$ 118.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -32 719151 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