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Home My WebLink About209866 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 364330 Page 1 of 1 f ONE CIVIC SQUARE MELLISA ZUHLKE CARMEL, INDIANA 46032 10849 B CORNELL ST CHECK AMOUNT: $201.98 INDIANAPOLIS IN 46280 CHECK NUMBER: 209866 CHECK DATE: 6/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 201.98 PARKS DEPARTMENT REFU GLOBAL REFUND RECEIPT Receipt 847647 r m l l Payment Date: 06/11 /12 Household 3294 Ifr��cr��ic�n R IVF.D Monon Community Center Mellisa Zuhlke Carmel IN 46032 12 2012 1084q 8 0ornell St. Wk Ph: (317) Indianapolis IN 46280 Cell Ph: (317)607-5420 MZuhlke @ccs.k12.in.us Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 84.16 Pass Holder: Missy Zuhlke Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Seas Wpk Adult (SAQAR), #171261 15.84 0.00 15.84 0.00 0.00 Valid Dates: 05/26/2012 to 09/04/2012 (Pass Cancellation) Cancellation Effective: 06/11/2012 Cancel Reason: Issued scholarship on 6/11/2012 CANCELLATION Refund Of 58.91 Pass Holder: Maddie Scott Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Seas Wpk Youth (SAQYR), #171263 11.09 0.00 11.09 0.00 0.00 Valid Dates: 05/26/2012 to 09/04/2012 (Pass Cancellation) Cancellation Effective: 06/11/2012 Pass Comments: Children must be age 11 or older to utilize the pools and /or gymnasium unaccompanied by an adult. Cancel Reason: Issued scholarship on 6/11/2012 CANCELLATION Refund Of 58.91 Pass Holder: Owen Scott Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Seas Wpk Youth (SAQYR), #171264 11.09 0.00 11.09 0.00 0.00 Valid Dates: 05/26/2012 to 09/04/2012 (Pass Cancellation) Cancellation Effective: 06/11/2012 Cancel Reason: Issued scholarship on 6/11/2012 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 06/11/12 15:12:14 by KLB FEES CHANGED ON CANCELLED ITEMS 201.98 NET AMOUNT�FROM `"CANCELLED ITEMS' """'201 TOTAL AMOUNLREFUNDED ,201.98,a NEW NET HOUSEHOLD BALANCE 0.00 Refund of 201.98 Made By REFUND FINAN With Reference scholarship 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 o dit c rd refunds. 1 utho ze sgnatur D to Authorized Signature Date Page 1 of 2 10 L 4 S 00 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 Zuhlke, Mellisa Date Due 10849 B Cornell St Indianapolis, IN 46280 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/11/12 847647 Refund 201.98 Total 201.98 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 Zuhlke, Mellisa 10849 B Cornell St Indianapolis, IN 46280 In Sum of 201.98 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1092 847647 4358400 201.98 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 14 -Jun 2012 Signature 201.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund