HomeMy WebLinkAbout207110 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 366084 Page 1 of 1
ONE CIVIC SQUARE CHANDRA SEKHAR INDUPURI
CARMEL, INDIANA 46032 1433 WEST MAIN STREET, APT 3H -1 i CHECK AMOUNT: $44.00
CARMEL IN 46032 CHECK NUMBER: 207110
CHECK DATE: 3/1312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 44.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
C 794835
Carmel o lays Payment Date: 03/05/12
Household 46277
rks&RecreatIQl'�
Monon Community Center Chandra Sekhar lndupuri Hm Ph: (859)586 -5853
Carmel IN 46032 1433 West Main St Wk Ph: (317)817 -5276
Apt 31-1-11 Cell Ph: (513)317 -2898
Carmel IN 46032
Phone: (317)848 -7275 indupurisekhar@gmail.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 44.00
Enrollee Name: RitVik Indupuri Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 326323 -02 Fitness Fun 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/02/2012 (Cancelled)
Primary Instructor: Motions Inc
Class Location: Gymnasium B Class Dates: 03/06/2012 to 03/27/2012
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 03/05/12 09:35:30 by LVA FEES CHANGED ON CANCELLED ITEMS 44.00
NET AMOUNT FROM CANCELLED ITEMS 44.00- 1
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 may take 4 -6 weeks to process. A check will be
issu No cash or credit card refunds.
Authorized Sig re 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: //2011 cpry .theregistrationsystem.com /en /1033!
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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.
l Payee
Purchase Order No.
Indupuri, Chandra Sekhar Terms
1433 West Main Street, Apt 3H -11 Date Due
Carmel, IN 46032
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3!5112 794835 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
Voucher No. Warrant No.
indupuri, Chandra Sekhar Allowed 20
1433 West Main Street, Apt 31-1-11
Carmel, IN 46032
In Sum of
44.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
109642 794835 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
8 -Mar 2012
Signature
44.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund