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176926 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 363293 Page 1 of 1 ONE CIVIC SQUARE APRIL SANCHEZ CHECK AMOUNT: $90.00 CARMEL, INDIANA 46032 1291 BENTLEY WAY CARMEL IN 46032 CHECK NUMBER: 176926 CHECK DATE: 9/2/2009 DEPARTMENT ACCOUNT PO NUMBER INV OICE NUM BER AMOUNT D ESCRIPT ION 1047 4358400 90.00 PARKS DEPARTMENT REFU 000323737 Monon nter Clerk: MAK Date Time: 16:41:24 H/H April Sanchez 12q ee►'� F /M: Andrew Sanchez 1 V3 �LC�G32 Description Ext Price class: 295002- 01(ENROLLED) Lil' Dragon Taekwo 0.00 Class Dates: 09/08/2009 10/27/2009 Class Times: 4:OOP 4:30P Meeting Days: Tu Class Location: Gymnasium C Motion Center Carmel, IN 46032 F /M: Augustin Sanchez Description Ext Price Class: 295002- 01(ENROLLED) Lil' Dragon Taekwo 0.00 Class Dates: 09/08/2009 10/27/2009 Class Times: 4:OOP 4:30P Meeting Days: Tu Class Location: Gymnasium C Monon Center Carmel, IN 46032 Rcpt# 323737 -rev Bal: 0.00 __---New Charges 90.00 New Tax: 0.00 Total Due: 90.00 Tot Refund: 90 00 New Bal: 0.00 Refund,Type.: Refund from Finance REFUND FIN Refund of: 90.00 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 oa -r-d refunds. Page 1 000323737 -rte- ��IUL��_ Authorized Signature Date Authorized Signature Date Fed Tax ID #35- 6000972 0i Rcpt# 323737 0@ Om w 35q Ll r U-_'Y` P�''.� a AUC 1 7 2009 Page 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. Sanchez, April Terms 1291 Bentley Way Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8113109 323737 Refund 90.00 Total 90.00 I hereby certify that the attached invoice(s), or bRI(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. Sanchez, April Allowed 20 1291 Bentley Way Carmel, IN 46032 In Sum of 90.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO #or INVOICE NO. ACCT XTITLE AMOUNT Board Members Dept 1047 323737 4358400 90.00 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 27 -Aug 2009 Signature 90.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund