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HomeMy WebLinkAbout202759 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 365708 Page 1 of 1 ONE CIVIC SQUARE AMY SIEKMAN (i CHECK AMOUNT: $46.00 CARMEL, INDIANA 46032 6539 W WINDING BEND MCCORDSVILLE IN 46055 CHECK NUMBER: 202759 CHECK DATE: 10/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 46.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 731196 Payment Date: 09/15/11 Household 34830 lonon Community Center 0 �Q� kJ Amy Siekman Hm Ph: (608)780 -0631 armel IN 46032 6539 W Winding Bend McCordsville IN 46055 Cell Ph: acsiekman @yahoo.com hone: (317)848 -7275 ed Tax ID #35- 6000972 nrollment Details CANCELLATION Enrollee Name: Tyler Siekman Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 218001 -01 Teen Night Out 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/15/2011 (Cancelled) Class Location: Party Rooms A B Class Dates: 09/23/2011 to 09/23/2011 Monon Community Cntr 5:30P to 9:30P F Carmel, IN 46032 Scheduled Sessions: 1 (317)848 -7275 Cancel Reason: Staff error PREVIOUS NET CREDIT HOUSEHOLD BALANCE 46.00 Processed on 09/15/11 14:44:53 by BNT FEES CHANGED ON CANCELLED ITEMS 0.00 NETAMOUNT'FROM:CANCELLED:ITEMS -0:00 HH BALANCE APPLIED TO THIS RECEIPT 46.00 TOTAL ?AM0 UNT REFUNDED:':i:::::;:i:::; e::46.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 46.00 Made By REFUND FINAN With Reference staff error 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. Authorized Signat r Date Authorized 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:// 2011cprv. theregistrationsysteni .com /en /l033! Page 1 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. Siekman, Amy Terms 6539 W Winding Bend Date Due McCordsville, IN 46055 Invoice Invoice Description Date !Number (or note attached invoice(s) or bill(s)) Amount 9115111 731196 Refund 46.00 Total 46.00 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. Siekman, Amy Allowed 20 6539 W Winding Bend McCordsville, IN 46055 In Sum of i 46.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or iNVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -70 731196 4358400 46.00 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 7 -Oct 2011 Signature 46.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund