HomeMy WebLinkAbout203284 11/17/2011 CITY OF CARMEL, INDIANA VENDOR: 365735 Page 1 of 1
ONE CIVIC SQUARE ALMA PITTMAN CHECK AMOUNT: $44.00
CARMEL, INDIANA 46032 6 SONG BIRD COURT
CARMEL IN 46033 CHECK NUMBER: 203284
CHECK DATE: 11/7/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 44.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Carmel &9 Clay Receipt# 743896
Payment Date: 10128111
ParkS&Recreatlo Household 11108
I NOV MORTS Monon Community Center 0 3 1016 Alma Pittman Hm Ph: (317)815 -4833
Carmel IN 46032 6 Song Bird Ct.
Carmel IN 46033 Cell Ph: (317)306-9309
alma.pittman ®att.net
Phone: (317)848 -7275
Fed Tax ID ff35- 6000972
Enrollment Details
CANCELLATION Refund Of 44.00
Enrollee Name: Larry Pittman Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 216356 -01 Flag Football 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/24/2011 (Cancelled)
Primary Instructor: Motions Inc
Class Location: West park Field 5 Class Dates: 09/05/2011 to 09/26/2011
West Park 6:OOP to 6:45P
2700 W. 116th St. M
Carmel, IN 46032 Scheduled Sessions: 4
(317) 848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/28/11 10:46:43 by LVA FEES CHANGED ON CANCELLED ITEMS 44.00
NET AMOUNT FROM CANCELLED ITEMS 44.Q0-
TOTAL AMOUNT REFUNDED 44.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 44.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and m ke 4 -6 we ks to pr cess. A check will be
issue o cash or credit c rd refunds.
1 Authorized Si a re Date uthori ed Signature Cfate
Volunteer with Usl
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:H2011cprv. theregistrationsystem .com /en /l 033!
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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.
Pittman, Alma Terms
6 Song Bird Ct. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10128111 743896 Refund 44.00
Total 44.00
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
i
I
Voucher No. Warrant No.
Pittman, Alma Allowed 20
6 Song Bird Ct.
Carmel, IN 46033
I
In Sum of
44.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 743896 4358400 44.00 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
3 -Nov 2011
Signature
44.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund