209856 06/18/2012 „Mf CITY OF CARMEL, INDIANA VENDOR: 366307 Page 1 of 1
ONE CIVIC SQUARE MARITA TUGHY
i CHECK AMOUNT: $195.00
CARMEL, INDIANA 46032 220 PENNRIDGE DRIVE
INDIANAPOLIS IN 46240 CHECK NUMBER: 209856
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 195.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT t
Receipt 841536 Carme I o Cloy
Payment Date: 06/06/2012
Household 23148 Par s Recreation
ion
Home Phone: (317)253 -6521
MARITA TUGHY Monon Community Center JUN 1 1 2012
220 PENNRIDGE DRIVE Carmel IN 46032
INDIANAPOLIS IN 46240
`l
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 193.00
Enrollee Name: Mary Tuohy Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 123023 -01 Lifeguarding 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/03/2012 (Cancelled)
Class Location: Pool Observation Rm Class Dates: 06/05/2012 to 06/08/2012
Monon Community Cntr 9:OOA to 6:OOP
Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Fee Details: Fee Des Amount Count Discount Sales Tax Total Fe
nAquatics Programs 0.00 1.00 0.00 0.00 0.00
nAquatics Programs 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Nichole Haberlin Approved 6/6/12
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 2.00
Processed on 06/06/12 19:17:29 by JVP FEES CHANGED ON CANCELLED ITEMS 200.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED `ITEMS; -i vg191.00
HH BALANCE APPLIED TO THIS RECEIPT 2.00
`TOTAL'AMOUNTREFUNDED "1195;00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 195.00 Made By REFUND FINAN With Reference
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.
617117,
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W-782, Page 1 of 2
C w GLOBAL REFUND RECEIPT
ar C l oy Receipt 841536
rs Ike crcati on Payment Date: 06/06/2012
Household 23148
Authorized 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:H2011 cprv. theregistrationsystem .com /en /l033!
DAY PASSES ARE NON REFUNDABLE
Page 2 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.
Terms
Tuohy, Marita Date Due
220 Pennridge Drive
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/6/12 841536 Refund 195.00
Total 195.00
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
Tuohy, Marita
220 Pennridge Drive
Indianapolis, IN 46240 I Sum of
195.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 841536 4358400 195.00 1 hereby certify that the attached invoice(s), or
bi](s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
14 -Jun 2012
1�sCJCh
Signature
195.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund