HomeMy WebLinkAbout202467 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 365703 Page 1 of 1
ONE CIVIC SQUARE HEATHER BARRETT
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CARMEL, INDIANA 46032 13566 BRENTWOOD LANE CHECK AMOUNT: $21.00
CARMEL IN 46033 CHECK NUMBER: 202467
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 21.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT'
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Receipt 732352
Payment Date: 09/21/11
Household 32259
Monon Community Center Heather Barrett Hm Ph: (317)575 -0093
Carmel IN 46032 13566 Brentwood Lane
k Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275 t S E I' 2 2011 heather.barrett @gmaiI.com
Fed Tax ID #35- 6000972
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Enrollment Details
CANCELLATION Refund Of 21.00
Enrollee Name: Heather Barrett Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 214007 -04 Masala Bhangra 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/04/2011 (Cancelled)
Class Location: Fitness Studio B Class Dates: 10/07/2011 to 10/28/2011
Monon Community Cntr 6:OOP to 6:50P
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Carmel IN 46032 Scheduled Sessions: 3
(317)848 -7275
Skip Days 10/21/2011
Cancel Reason: Instructor injured.
PREVIOUS NET HOUSEHOLD BALANCE 0.00.
Processed on 09/21/11 12:30:33 by LWW FEES CHANGED ON CANCELLED ITEMS 21.00-
NET AMOUNT!'FROM°GANCELLED ITEMS" 21.00
TOTAL AMOUNT REFUNDED 21.00,•'
NEW NET HOUSEHOLD BALANCE 0.00
REFUND FINAN With Reference Check refund.
refund of 21.00 Made By==
\II refunds are subject to State Board of Accounts claim procedure and may take week to process. A check wil! be
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3SUed. No cash or credit card refunds.
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Date Aut riy d Signa re
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Authorized Sigrvata�e f'
our help! We are currently seeking volunteers
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ACCOUNTS PAYABLE VOUCHERx.,,.
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.
Barrett, Heather Terms
13566 Brentwood Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/11 732352 Refund 21.00
Total 21.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Barrett, Heather Allowed 20
13566 Brentwood Lane
Carmel, IN 46033
In Sum of
21.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 732352 4358400 21.00 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
6 -Oct 2011
Signature
21.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
c m paid motor vehicle highway fund
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