HomeMy WebLinkAbout202635 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 365705 Page 1 of 1
ONE CIVIC SQUARE KAREN KIRKMAN CHECK AMOUNT: $28.00
CARMEL, INDIANA 46032 36 WILSON DRIVE
CARMEL IN 46032 CHECK NUMBER: 202635
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 28.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 733967
Payment Date: 09/29/11
Household 24853
Monon Community Center Karen Kirkman Hm Ph: (317)846 -8460
Carmel IN 46032 36 Wilson Dr.
Carmel IN 46032 Cell Ph:
khuntzinger @sbcglobal.net
Phone: (317)848 -7275
Fed Tax I D #35- 6000972
Enrollment Details
CANCELLATION Refund Of 28.00
Enrollee Name: Karen Kirkman Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 214201 -04 Zumba 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/08/2011 (Cancelled)
Class Location: Dance Studio Class Dates: 10/05/2011 to 10/26/2011
Monon Community Cntr 7:00P to 7:50P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275 l
Cancel Reason: Did not like class. Q 4 201
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/29/11 11:13:33 by LWW FEES CHANGED ON CANCELLED ITEMS 28.00
NET'AMOUNT,•F.ROM C'ANCELLED.ITEMS': °28:00
TOTAL AMOUNT REF, UNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 28.00 Made By REFUND FINAN With Reference Check refund
All refunds are subject to State Board of Accounts claim procedure and may take 4- e ks to process. A check will be
issued. No cash or credit card refunds.
Authorized Signature Date Aut ri d Sig atur Date
Volunteer with Us!
6
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 httpsa /201 lcpry .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.
Kirkman, Karen Terms
36 Wilson Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9129111 733967 Refund 28.00
Total 28.00
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.
Kirkman, Karen Allowed 20
36 Wilson Dr.
Carmel, IN 46032
In Sum of
28.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 733967 4358400 28.00 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
28.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i