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Home My WebLink About207140 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 366085 Page 1 of 1 ONE CIVIC SQUARE ANDREA LANGILLE CARMEL, INDIANA 46032 1082 PALOMOR DRIVE CHECK AMOUNT: $141.00 WESTFIELD IN 46074 CHECK NUMBER: 207140 l)ON G CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 141.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 795605 Payment Date: 03/07/12 arm Household 13338 c Pa rks C t Monon Community Center s Andrea Langille Hm Ph: (317)896 -1409 Carmel IN 46032 1082 Palomor Dr. v Westfield IN 46074 Cell Ph: candymacd @yahoo.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 I j7o Enrollment Details CANCELLATION Refund Of 42.00 Enrollee Name: Connor Brown Fees Tax Discount Prev Paid Cur Paid 6aigunt Due Activity Number: 323003 -24 Preschool Level 1 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 01/03/2012 (Cancelled) Class Location: Ind Leisure 3 Class Dates: 03/05/2012 to 03/26/2012 Monon Community Cntr 6:15P to 7:OOP M Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: Advanced Request CANCELLATION Refund Of 32.00 Enrollee Name: Connor Brown Fees Tax Discount Prev Paid Cur Paid Amount Du Activity Number: 323003 -33 Preschool Level 1 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 01/03/2012 (Cancelled) Class Location: Ind Leisure 3 Class Dates: 04/09/2012 to 04/23/2012 Monon Community Cntr 6:15P to 7:OOP M Carmel, IN 46032 Scheduled Sessions: 3 (317)848 -7275 Cancel Reason: Advanced Request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 03/07/12 10:34:22 by ERM FEES CHANGED ON CANCELLED ITEMS 74.00- 1 NET,'AMOUNT FROM CANCELLED ITEMS 24600 TOTAL .AMOUNT, REFUNDED NEW NET HOUSEHOLD BALANCE 0.00 Refund of 74.00 Made By REFUND FINAN With Reference Check Refund 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. 7;/7/ toi to. 4f Authorized Signature Date Authorized Signature Date Page 1 of 2 ACTIVITY REFUND RECEIPT Receipt 795355 Car l Clay Payment Date: 03106/12 Household 13338 Pa F Re, creation Monon Community Center Andrea Langille Atlomov- Hm Ph: (317)896 -1409 Carmel IN 46032 1082 Ralory)o&' 0'' Westfield IN 46074 Cell Ph: candymacd @yahoo.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 35.00 Enrollee Name: Colton Brown Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 323004 -30 Preschool Level 2 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 01/03/2012 (Cancelled) Class Location: Ind Leisure 4 Class Dates: 03/05/2012 to 03/26/2012 Monon Community Cntr 6:15P to 7:OOP M Carmel, IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: Advanced Request CANCELLATION Refund Of 32.00 Enrollee Name: Colton Brown Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 323004 -42 Preschool Level 2 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 01/03/2012 (Cancelled) Class Location: Ind Leisure 4 Class Dates: 04/09/2012 to 04(2312012 Monon Community Cntr 6:15P to 7:OOP M Carmel, IN 46032 Scheduled Sessions: 3 (317)848 -7275 Cancel Reason: Advanced Request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 03!06!12 13:28:03 by ERM FEES CHANGED ON CANCELLED ITEMS 74.00 SURCHARGE APPLIED AGAINST CANCELLED FEES O 7.00 NET AMOUNTiFROWCANCELLED ITEMS,-67;00 !,TOTAL=AMOUNT,.REFUNDED 67A0 �t NEW NET HOUSEHOLD BALANCE 0.00 Refund of 67.00 Made By REFUND FINAN With Reference Check Refund 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. 5/1 A Jof4 ./0. A V I S rb 5 4 —e .thorized Signature Date Authorized Signature Date Page 1 of 2 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. Langille, Andrea Terms 1082 Palomor Dr. Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/6/12 795355 Refund 67.00 3/7/12 795605 Refund 74.00 Total 141.00 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. Langille, Andrea Allowed 20 1082 Palomor Dr. Westfield, IN 46074 In Sum of 141.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -10 795355 4358400 67.00 I hereby certify that the attached invoice(s), or 1096 -10 795605 4358400 74.00 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 8 -Mar 2012 J Signature 141.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund