HomeMy WebLinkAbout202555 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 365704 Page 1 of 1
ONE CIVIC SQUARE GAIL GESELL CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 11742 FOREST PARK LANE
ti rod �o CARMEL IN 46033 CHECK NUMBER: 202555
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 35.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 733968
Payment Date: 09/29/11
Household 6656
Monon Community Center Gail Gesell Hm Ph: (317)843 -0118
Carmel IN 46032 11742 Forest Park Lane Wk Ph: (317)226 -5205
Carmel IN 46033 Cell Ph:(317)
g.gesell @sba.gov
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Gail Gesell Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 214201 -03 Zumba 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/19/2011 (Cancelled)
Class Location: Dance Studio Class Dates: 10/03/2011 to 10/31/2011
Monon Community Cntr 7:OOP to 7:50P )}`l �7 3 7-1 1�
M
Carmel IN 46032 Scheduled Sessions: 5 r y
(317)848 -7275 O C T 0 /j' 20
Cancel Reason: Illness.
6
.1 c
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/29/11 11:14:39 by LWW FEES CHANGED ON CANCELLED ITEMS 35.00
NET`AMOUNTi.17ROWCANCELLED ITEMS 35:00
TOTAL AMOUNTAEFUNDED 35:00'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference Check refund
All refunds are subject to State Board of Accounts claim procedure and may take 4- eks to process. A check will be
issued. No cash or credit card refunds.
.Q� �•3 q30 11
Authorized Signature Date Aut ri ed ign ure Date
Volunteer with Us. I
Volunteers are the foundation of Carmel Clay Parks Recreation and we need your help! We are currently seeking volunteers
for special events, adaptive programs, parks and greenways, and Extended School Enrichment. If interested, please call Dana
at 317.843.3868 or register online at https: /2011cpry .theregistrationsystem.com /en /1033!
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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.
Gesell, Gail Terms
11742 Forest Park Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/29/11 733968 Refund 35.00
Total 35.00
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
1 20
Clerk- Treasurer
Voucher No, Warrant No.
Gesell, Gail Allowed 20
11742 Forest Park Lane
Carmel, IN 46033
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 733968 4358400 35.00 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
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund