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Home My WebLink About210935 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 366418 Page 1 of 1 ONE CIVIC SQUARE PATRICIA LONG CHECK AMOUNT: $156.00 ,ro CARMEL, INDIANA 46032 10722 KNIGHTSBRIDGE LANE FISHERS IN 46037 CHECK NUMBER: 210935 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 875584 39 . 00 REFUNDS AWARDS & INDE 1096 4358400 877196 117 . 00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT Receipt# 875584 Carmel l * lay Payment Date: 06/28/12 ,y Household #: 36482 Parks&Recreation Monon Community Center F,�, CEWED Patricia Long Hm Ph: (317)585-8101 Carmel IN 46032 10722 Knightsbridge Lane JUL 0 2 2012 Fishers IN 46037 Cell Ph: tricialong @ comcast.net Phone: (317)848-7275 .Fed Tax ID#35-6000972 Enrollment Details ROSTER CHANGE - Refund Of 39.00 Enrollee Name: Alex Long Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 126100-02 IUPUI Jaguars Basket 156.00 0.00 156.00 0.00 0.00 Enrollment Date: 06/14/2012 (Enrolled) Primary Instructor: Todd Howard Class Location: Gymnasium - Whole Class Dates: 06/25/2012 to 06/29/2012 Monon Community Cntr 9:OOA 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 06/28/12 @ 15:33:23 by LVA FEES ADJUSTED ON CHANGED ITEMS(+) 39.00- NET AMOUNT FROM CHANGED ITEMS 39.00 TOTAL AMOUNT REFUNDED 39.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 39.00 Made By==>REFUND FINAN With Reference==>prorated refund All ref s are subject to State Board of Accounts claim procedure and may take 4-6 weeks to process. A check will be issu A,Ao cash or credit card refunds. 41Z (0 29 IL Authorized Sign a Date ut hfAz ed nature 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 cpry.theregistrationsystem.com/en/1033! DAY PASSES ARE NON-REFUNDABLE 1001 c0 - 1-/a - q YAJ Q 1 �1T W I \}`J Page# 1 of 1 ACTIVITY REFUND RECEIPT Receipt# 877196 Carmel * Clay Payment Date: 06/29/12 Household #: 36482 ParksAecreation +r;FT\7ED JUL 022012 Monon Community Center Patricia Long Hm Ph: (317)585-8101 Carmel IN 46032 F0 hers INKnightsbridge Lane Cell Ph: tricialong@comcast.net Phone: (317)848-7275 Fed Tax ID#35-6000972 Enrollment Details ROSTER CHANGE - Refund Of 117.00 Enrollee Name: Alex Long Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 126100-02 IUPUI Jaguars Basket 39.00 0.00 39.00 0.00 0.00 Enrollment Date: 06/14/2012 (Enrolled) Primary Instructor: Todd Howard Class Location: Gymnasium - Whole Class Dates: 06/25/2012 to 06/29/2012 Monon Community Cntr 9:OOA 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 06/29/12 @ 15:03:20 by LVA FEES ADJUSTED ON CHANGED ITEMS(+) 117.00- NET AMOUNT FROM CHANGED ITEMS 117.00 TOTAL AMOUNT REFUNDED 117.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 117.00 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 issu No cash or credit card refunds. Authorized Signat a Dat h ize S' nature 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:H2011cpry.theregistrationsystem.com/en/1033! DAY PASSES ARE NON-REFUNDABLE Oq (0— r �_ 1 �qoo e 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 Long, Patricia Date Due 10722 Knightsbridge Lane Fishers, IN 46037 Invoice ;Number oice Description Date (or note attached invoice(s) or bill(s)) Amount 6/28/12 5584 Refund $ 39.00 6/29/12 877196 Refund $ 117.00 Total $ 156.00 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 Long, Patricia 10722 Knightsbridge Lane Fishers, IN 46037 In Sum of$ $ 156.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 875584 4358400 $ 39.00. 1 hereby certify that the attached invoice(s), or 1096-42 877196 4358400 $ 117.00 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 /),�//Ymm) Signature $ 156.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund