206116 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 365648 Page 1 of 1
ONE CIVIC SQUARE MARK ALFES
CARMEL, INDIANA 46032 13775 COLDWATER DRIVE CHECK AMOUNT: $100.00
CARMEL IN 46032
CHECK NUMBER: 206116
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 100.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Carmel Clay Receipt# 781276
Payment Date: 02/02/12
parks &recreation Household 11861
Monon Community Center,l
Mark Alfes Hm Ph: (317)332 -7737
Carmel IN 46032 13775 Coldwater Dr
carmel IN 46032 Cell Ph:
Phone: (317)848 -7275 Q
FEB 0 8 1012 stacialfes@yahoo.com
Fed Tax ID #35- 6000972
IR V.
Enrollment Details
CANCELLATION Refund Of 50.00
Enrollee Name: Mark Alfes Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 326289 -01 Spanish 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/14/2011 (Cancelled)
Primary Instructor: Motions Inc
Class Location: Program Room B Class Dates: 02/07/2012 to 02/28/2012
Monon Community Cntr 5:OOP to 5:45P
Tu
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
CANCELLATION Refund Of 50.00
Enrollee Name: Marisa Alfes Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 326289 -01 Spanish 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/14/2011 (Cancelled)
Primary Instructor: Motions Inc
Class Location: Program Room B Class Dates: 02/07/2012 to 02/28/2012
Monon Community Cntr 5:OOP to 5:45P
Tu
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 02/02/12 17:02:35 by LVA FEES CHANGED ON CANCELLED ITEMS 100.00
NET AMOUNT FROM CANCELLED ITEMS 100.00
TOTAL AMOUNT REFUNDED 100.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 100.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may to weeks to process. A check will be
issue No cash or credit card refunds.
V t
1- Q Page 1 of 2
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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.
Alfes, Mark Terms
13775 Coldwater Dr Date Due.
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
212112 781276 Refund 100.00
Total 100.00
I 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.
Alfes, Mark Allowed 20
13775 Coldwater Dr
Carmel, IN 46032
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 781276 4358400 100.00 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
9 -Feb 2012
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund