HomeMy WebLinkAbout207791 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366162 Page 1 of 1
ONE CIVIC SQUARE LIANG ZENG YAN
CARMEL, INDIANA 46032 12420 SPRINGBROOKE RUN CHECK AMOUNT: $693.00
CARMEL IN 46033 CHECK NUMBER: 207791
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 693.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 808326
Carmel I* laly Payment Date: 04/05/12
J
F rks Ae creatl on Household 9725
Monon Community Center Liang Zeng Yan Hm Ph: (317)569 -9442
Carmel IN 46032 12420 Springbrooke Run Wk Ph: (317)433 -7283
Carmel IN 46033 Cell Ph:
gingwenyang @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
4
Enrollment Details
CANCELLATION Refund Of 693.00
Enrollee Name: Iris Yan Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476005 -13 Success on Stage 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 12/16/2011 (Cancelled) qM fm
Class Location: Woodbrook Elem Schoo Class Dates: 07/02/2012 to 08/03/2012 0
Woodbrook Elementary 8:30A to 5:30P
4311 East 116th Street M,Tu,W,Th,F APR 0 6 2012
Carmel, IN 46033 Scheduled Sessions: 25
(317)848 -7275
Cancel Reason: schedule conflict By...............
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/05/12 11:07:05 by BJJ FEES CHANGED ON CANCELLED ITEMS 700.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 693.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 693.00 Made By REFUND FINAN With Reference
All refun s are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or credit card refunds.
Aut ed Signature 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:// 2011cpry .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.
Payee Purchase Order No.
Yan, Liang Zeng Terms
12420 Springbrooke Run Date Due
Carmel, IN 46033
Invoice ;Number voice Description
Date (or note attached invoices) or bill(s)) Amount
4/5/12 08326 Refund 693.00
Total 693.00
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.
Yan, Liang Zeng Allowed 20
12420 Springbrooke Run
Carmel, IN 46033
In Sum of
693.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -06 808326 4358400 693.00 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
6 -Apr 2012
Signature
693.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund