206501 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 366037 Page 1 of 1
ONE CIVIC SQUARE NANNERL WRIGHT CHECK AMOUNT: $88.00
CARMEL, INDIANA 46032 1108 SELKIRK LANE
INDIANAPOLIS IN 46260 CHECK NUMBER: 206501
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 88.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 780616
C armel Clay Payment Date: 01/31/12
Household 46063
'arks &Recreation
Monon Community Center Nannerl Wright Hm Ph: (317)843 -2046
Carmel IN 46032 1108 Selkirk Ln
Indianapolis IN 46260 Cell Ph: (815)985-2158
nannerlw@yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 88.00
Enrollee Name: Nannerl Wright Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 327210-01 Expressive Drawing 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/11/2012 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Art Studio Class Dates: 01/30/2012 to 03/05/2012
Monon Community Cntr 6:30P to 8:30P
M
Carmel IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: Low Enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 01/31/12 15:15:18 by MML FEES CHANGED ON CANCELLED ITEMS 88.00
NET AMOUNT FROM CANCELLED ITEMS 88.00
TOTAL AMOUNT REFUNDED 88.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 88.00 Made By REFUND FINAN With Reference Low Enrollment
All refundp are subjec to State Board of Accounts claim procedure and may to a 4 -6 weeks to process. A check will be
issued. o ash r it c d refunds.
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Autl orized 1gnatu ate p u orized ignature Da e
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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:H2011 cpry .theregistrationsystem.com /en /1033! rr" b%
U FEB 0 2 2012
BY:
Page 1 of 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.
Wright, Nannerl Terms
1108 Selkirk Ln Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1131112 780616 Refund 88.00
Total 88.00
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.
Wright, Nannerl Allowed 20
1108 Selkirk Ln
Indianapolis, IN 46260
In Sum of
88.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 780616 4358400 88.00 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
88.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund