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Home My WebLink About204006 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 365808 Page 1 of 1 ONE CIVIC SQUARE JENNIFER RUSSELL CHECK AMOUNT: $594.00 CARMEL, INDIANA 46032 880 BRIDLE COURT ion i� CARMEL IN 46032 CHECK NUMBER: 204006 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 594.00 REFUND ACTIVITY REFUND RECEIPT Receipt 745460 ca 0 Cl Payment Date: 11/04/11 P rl eGreatibi l Household 23386 Carmel Elementary NOV 9 20� I! Jennifer Russell Hm Ph: (317)848 -7899 101 4th Avenue SE 880 Bridle Ct Carmel IN 46033 Carmel IN 46032 Cell Ph: Phone: (317)848 -7275 By: russeljk @yahoo.com Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 33.00 Enrollee Name: Katie Russell Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476011 -17 School's Out Camp 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 1 010 312 01 1 (Cancelled) Class Location: Cherry Tree Elem Sch Class Dates: 01/ 16/2012 to 01/16/2012 Cherry Tree Elementa 7:OOA to 6:00P 13869 Hazel Dell Road M Carmel, IN 46033 Scheduled Sessions: 1 (317)848 -7275 CANCELLATION Refund Of 33.00 Enrollee Name: Katie Russell Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 47601 1 -1 8 School's Out Camp 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 10/03/2011 (Cancelled) Class Location: Cherry Tree Elem Sch Class Dates: 02/20/2012 to 02/20/2012 Cherry Tree Elementa 7:OOA to 6:OOP 13869 Hazel Dell Road M Carmel IN 46033 Scheduled Sessions. 1 (317)848 -7275 CANCELLATION Refund Of 198.00 Enrollee Name: Katie Russell Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476011 -19 School's Out Camp 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 10/03/2011 (Cancelled) Class Location: Cherry Tree Elem Sch Class Dates: 03/30/2012 to 04/06/2012 Cherry Tree Elementa 7:OOA to 6:OOP 13869 Hazel Dell Road M,Tu,W,Th,F Carmel IN 46033 Scheduled Sessions. 6 (317)848 -7275 CANCELLATION Refund Of 33.00 Enrollee Name: Katie Russell Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476011 -26 School's Out Camp 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 1 010 312 01 1 (Cancelled) J Page 1 of 3 V- ACTIVITY REFUND RECEIPT clay r s &k. ecreati �n Receipt 745460 Payment Date: 11/04/2011 Household 23386 Class Location: Cherry Tree Elem Sch Class Dates: 05/07/2012 to 05/07/2012 Cherry Tree Elementa 7:00A to 6:OOP 13869 Hazel Dell Road M Carmel, IN 46033 Scheduled Sessions: 1 (317)848 -7275 CANCELLATION Refund Of 33.00 Enrollee Name: James Russell Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476011 -17 School's Out Camp 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 10/03/2011 (Cancelled) Class Location: Cherry Tree Elem Sch Class Dates: 01/16/2012 to 01/16/2012 Cherry Tree Elementa 7:OOA to 6:OOP 13869 Hazel Dell Road M Carmel, IN 46033 Scheduled Sessions: 1 (317)848 -7275 CANCELLATION Refund Of 33.00 Enrollee Name: James Russell Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476011-18 School's Out Camp 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 10/0312011 (Cancelled) Class Location: Cherry Tree Elem Sch Class Dates: 02/20/2012 to 02/20/2012 Cherry Tree Elementa 7:OOA to 6:OOP 13869 Hazel Dell Road M Carmel, IN 46033 Scheduled Sessions. 1 (317)848 -7275 CANCELLATION Refund Of 198.00 Enrollee Name: James Russell Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476011 -19 School's Out Camp 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 10/03/2011 (Cancelled) Class Location: Cherry Tree Elem Sch Class Dates: 03/30/2012 to 04/06/2012 Cherry Tree Elementa 7:OOA to 6:OOP 13869 Hazel Dell Road M,Tu,IN,Th,F Carmel, IN 46033 Scheduled Sessions: 6 (317)848 -7275 CANCELLATION Refund Of 33.00 Enrollee Name: James Russell Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476011 -26 School's Out Camp 0.00 0.00 0.00 0.00 0.00 Enrollment Date. 10/03/2011 (Cancelled) Class Location: Cherry Tree Elem Sch Class Dates: 05/07/2012 to 05/07/2012 Cherry Tree Elementa 7:OOA to 6:OOP 13869 Hazel Dell Road M Carmel IN 46033 Scheduled Sessions: 1 (317)848 -7275 Page 2 of 3 ACTIVITY REFUND RECEIPT m I Clay Receipt 745460 Nike& e reabon Payment Date: 11/04/2011 Household 23386 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 11/04/11 14:13:51 by SLH FEES CHANGED ON CANCELLED ITEMS 594.00- NET .AMOUNT FROM `CANCELLED ITEMS 594:00 TOTAL AMOUNT REFUNDED 594.00. NEW NET HOUSEHOLD BALANCE 0.00 Refund of 554.00 Made By REFUND FINAN With Reference All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued o cash or credit card refunds. I 1 i l L t rized Signature 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 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: /2011cprv. theregistrationsystem .com /en /1033! Page 3 of 3 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. Russell, Jennifer Terms 880 Bridle Ct Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1114!11 75460 Refund 594.00 Total 594.00 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. Russell, Jennifer Allowed 20 880 Bridle Ct Carmel, IN 46032 In Sum of 594.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members Dept 1081 -99 75460 4358400 594.00 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 17 -Nov 2011 A il��/�1'Ip 1 Signature 594.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund r