210331 07/05/2012 ^,,fr CITY OF CARMEL, INDIANA VENDOR: 366325 Page 1 of 1
ONE CIVIC SQUARE JAMES DUNCAN CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 752 PRINCETON LANE
WESTFIELD IN 46074 CHECK NUMBER: 210331
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 50.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 865268
�"I Cla Payment Date: 06/21/12
Household 42455
marks &Recreatioh
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Monon Community Center james duncan Hm Ph: (574)536 -8527
Carmel IN 46032 2 5 2012 752 princeton lane
westfield IN 46074 Cell Ph:(574)536 -8527
megditt @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 50.00
Enrollee Name: Drew duncan Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 126100 -02 IUPUI Jaguars Basket 145.00 0.00 145.00 0.00 0.00
Enrollment Date: 05/10/2012 (Enrolled)
Primary Instructor: Todd Howard
Class Location: Gymnasium Whole Class Dates: 06/25/2012 to 06/29/2012
Monon Community Cntr 9:00A to 4:OOP
M,Tu,W,Th,F
Carmel IN 46032 Scheduled Sessions: 5
(317)848 -7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/21/12 14:16:27 by LVA FEES ADJUSTED ON CHANGED ITEMS 50.00
NET AMOUNT FROM CHANGED ITEMS 50.00
TOTAL AMOUNT REFUNDED 50.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 50.00 Made By REFUND FINAN With Reference prorated request
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No cash or credit card refunds.
6 25 1 2
Authorized Sig re Date Au oriz Signature Dat
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:H2011cpry .theregistrationsystem.com /en /1033!
DAY PASSES ARE NON REFUNDABLE
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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
Duncan, James Date Due
752 Princeton Lane
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/12 865268 Refund 50.00
Total 50.00
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
Duncan, James
752 Princeton Lane
Westfield, IN 46074 In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 865268 4358400 50.00 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
28 -Jun 2012
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund