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