HomeMy WebLinkAbout202035 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 365683 Page 1 of 1
ONE CIVIC SQUARE TUESDAY ANDERSON
CARMEL, INDIANA 46032 11462 BURKWOOD DRIVE CHECK AMOUNT: $7.00
CARMEL IN 46033
CHECK NUMBER: 202035
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 7.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
M
r
Receipt 726271
Payment Date: 09/09/11
Household 2239
Monon Community Center Tuesday Anderson Hm Ph: (317)706 -1004
Carmel IN 46032 T 11482 Burkwood Dr. Wk Ph: (317)388 -7708
J Carmel IN 46033 Cell Ph: (317)459 -2153
ecanderson1 @me.com Phone: (317)848 -7275 S E P 4 10 11
Fed Tax ID #35- 6000972
Enrollment Details
Enrollee Name: Tuesday Anderson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 214201 -01 Zumba 21.00 0.00 0.00 21.00 0.00
Enrollment Date: 09/09/2011 (Enrolled Transfer from 214201 -02 Zumba))
Primary Instructor: Brenda Barrett
Class Location: Dance Studio Class Dates: 09/12/2011 to 09/26/2011
Monon Community Cntr 7:OOP to 7:50P
M
Carmel, IN 46032 Scheduled Sessions: 3
(317)848 -7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/09/11 13:27:13 by LWW FEES ADJUSTED ON CHANGED ITEMS 7.00
NET AMOUNT FROM CHANGED ITEMS 7.00
TOTAL AMOUNT REFUNDED 7.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 7.00 Made By REFUND FINAN With Reference HH credit
Payment of 21.00 Made By Activity Registration Credit Balance
All refunds are subject to State Board of Accounts claim procedure and ma e 4 -6 weeks to process. A check will be
issued. No c h or credit card refunds.
Authorized Signature Date thori ed Signature Date
Volunteer with Us!
Volunteers are the foundation of Carmel Clay Parks Recreation and we need your help! We are currently seeking volunteers
for: Tour de Carmel (September 10), Barktember (September 11), and our Adaptive Programs (ongoing throughout the year).
If interested, please call Dana at 317.843.3868 or register online at https: /2011cpry .theregistrationsystem.com /en /1033!
10%. 22. 4359YOO
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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.
Anderson, Tuesday Terms
11482 Burkwood Dr. Date Due
Carmel, 1N 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
919/ 726271 Refund 7.00
Total 7.00
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
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Clerk- Treasurer