209823 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366304 Page 1 of 1
ONE CIVIC SQUARE BILL PERRET
CARMEL, INDIANA 46032 11457 SENIE LANE CHECK AMOUNT: $85.00
CARMEL IN 46032 CHECK NUMBER: 209823
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 85.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
RP T Receipt 828817
a�IE: i Payment Date: 05/21/12
Y JUN 1 1 2012 1 Household 19297
Irks &Re. creation
BY: I
Monon Community Center Bill Perret Hm Ph: (317)810 -9487
Carmel IN 46032 11457 Senie Lane
carmel IN 46032 Cell Ph:
thelakath@aol.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 85.00
Enrollee Name: Kathy Perret Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 127024 -01 Mixed Media Collag 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/25/2012 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room B Class Dates: 05/22/2012 to 06/26/2012
Monon Community Cntr 6:30P to 8:OOP
Tu
Carmel, IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 05/21/12 14:15:04 by MML FEES CHANGED ON CANCELLED ITEMS 85.00
NET AMOUNT FROM CANCELLED ITEMS 85.00
TOTAL AMOUNT REFUNDED 85.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 85.00 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
4issu No as r cre it card refunds.
7 2
&4112-
Authorized Signature Date A4tF7 ze Sign ure Date
60. y 35 ggoo
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 .H2011cprv. theregistrationsystem .com /en /1033!
DAY PASSES ARE NON REFUNDABLE
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.
Terms
Perret, Bill Date Due
11457 Senie Lane
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5121112 828817 Refund 85.00
Total 85.00
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.
Allowed 20
Perret, Bill
11457 Senie Lane
Carmel, IN 46032 I Sum of
85.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 828817 4358400 85.00 1 hereby certify that the attached invoice(s), or
hill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
mceived except
14 -Jun 2012
jn o b
Signature
85.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund