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210768 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366413 Page 1 of 1 ONE CIVIC SQUARE MEGAN BRADY CARMEL, INDIANA 46032 235 3RD AVENUE NORTHEAST CHECK AMOUNT: $224.00 o� CARMEL IN 46032 CHECK NUMBER: 210768 CHECK DATE: 7/1712012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 892438 224 . 00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT Carmel Clay Receipt# 892438 s � 0 Q Payment Date: 07/10/12 Parks&Recreatlon Household#: 48021 Monon Community Center Megan Brady Carmel IN 46032 235 3rd Avenue Northeast JUL 1 1 2012 Carmel IN 46032 Cell Ph:(203)869-8823 mhopkins24 @yahoo.com Phone: (317)848-7275 T Fed Tax ID#35-6000972 F. Refund Details Orin Ball Refund New Bal Module: Activity Registration 224.00- 224.00 0.00 PREVIOUS NET HOUSEHOLD BALANCE 224.00 Processed on 07/10/12 @ 14:04:49 by CNA NEW REFUND AMOUNT(-) 224.00 TOTAL REFUNDABLE AMOUNT 224.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 224.00 Made By==>REFUND FINAN With Reference=_>low enrollment All refunds are subject to State Board of Accounts claim procedure and may t 6 eks to process. A check will be issued. No Gash or credit card refunds. -7110112 - 7110117— Autkrized Signature Da a Av o' 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://201lcprv.theregistrationsystem.com/en/1033! DAY PASSES ARE NON-REFUNDABLE L(o.50. W135<�Hoo womey\ 5 G OI c rMw\ Page# 1 of 1 �Ao V'_-x6 .00 uecb�- 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 Brady, Megan Date Due 235 3rd Avenue Northeast Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/10/12 892438 Refund $ 224.00 Total $ 224.00 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. Allowed 20 Brady, Megan 235 3rd Avenue Northeast Carmel, IN 46032 In Sum of$ $ 224.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1096-50 892438 4358400 $ 224.00 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 12-Jul 2012 Signature $ 224.00 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund