The URL can be used to link to this page

Home My WebLink About211396 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 366431 Page 1 of 1 ONE CIVIC SQUARE JEFF NEWKIRK CHECK AMOUNT: $240.00 CARMEL, INDIANA 46032 111 BENNETT RD CARMEL IN 46032 CHECK NUMBER: 211396 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 910537 70 . 00 REFUNDS AWARDS & INDE 1096 4358400 912091 170 . 00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT rme Clay tB 07/2 Receipt# 37 Payment Date: 07/23/12 Household #: 39084 Parks&Recreation Monon Community Center Jeff Newkirk Hm Ph: (317)529-8510 Carmel IN 46032 111 Bennett Rd Wk Ph: (317)837-5949 Carmel IN 46032 Cell Ph: sandraieff.newkirk @yahoo.com Phone: (317)848-7275 Fed Tax ID #35-6000972 Enrollment Details CANCELLATION - Refund Of 70.00 Enrollee Name: Edvards Newkirk Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 126105-01 First Fencers 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06/28/2012 (Cancelled) Primary Instructor: Jeanne Slain Class Location: Program Rms B&C Class Dates: 07/18/2012 to 08/08/2012 Monon Community Cntr 6:OOP to 6:45P W Carmel, IN 46032 Scheduled Sessions: 4 (317)848-7275 Cancel Reason: advanced request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 07/23/12 @ 11:32:01 by LVA FEES CHANGED ON CANCELLED ITEMS(+) 70.00- NET AMOUNT FROM CANCELLED ITEMS 70.00- TOTAL AMOUNT REFUNDED 70.00 NEW NET CREDIT HOUSEHOLD BALANCE 42.50 Refund of=_> 70.00 Made By==>REFUND FINAN With Reference==>advanced 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. -7 12 3 V3/m Authorized Sigd ure Date I 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 cue r Page# 1 of 1 ACTIVITY REFUND RECEIPT Receipt# 912091 Carmel l v flay Payment Date: 07/24/12 ,y Parts&Recreatio' n Household #: 39084 Monon Community Center Jeff Newkirk Hm Ph: (317)529-8510 Carmel IN 46032 _ 111 Bennett Rd Wk Ph: (317)837-5949 R�F F`" r b ° Carmel IN 46032 Cell Ph: T r- I sandrajeff.newkirk @yahoo.com Phone: (317)848-7275 Fed Tax ID #35-6000972 JUL 2 5 2012 i Enrollment Details CANCELLATION - Refund Of 85.00 Enrollee Name: Jake Newkirk Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 126106-01 Fencing 1 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06/01/2012 (Cancelled) Primary Instructor: Jeanne Slain Class Location: Program Rms B&C Class Dates: 07/16/2012 to 08/06/2012 Monon Community Cntr 6:OOP to 7:OOP M Carmel, IN 46032 Scheduled Sessions: 4 (317)848-7275 Cancel Reason: advanced request CANCELLATION - Refund Of 85.00 Enrollee Name: Zack Newkirk Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 126106-01 Fencing 1 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06/01/2012 (Cancelled) Primary Instructor: Jeanne Slain Class Location: Program Rms B&C Class Dates: 07/16/2012 to 08/06/2012 Monon Community Cntr 6:OOP to 7:OOP M Carmel, IN 46032 Scheduled Sessions: 4 (317)848-7275 Cancel Reason: advanced request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 07/24/12 @ 15:21:32 by LVA FEES CHANGED ON CANCELLED ITEMS(+) 170.00- NET AMOUNT FROM CANCELLED ITEMS 170.00- TOTAL AMOUNT REFUNDED 170.00 NEW NET CREDIT HOUSEHOLD BALANCE 42.50 Refund of=_> 170.00 Made By=_>REFUND FINAN With Reference=_>advanced request All refunds are subject to State Board of Accounts claim procedure and may take we s to process. A check will be issue . No cash or credit card refunds. 7� /Z l GCL W t ��q 0 0 L Page# 1 of 2 RAC jOLvk.ecd 12aq veS-F 1 v�5�1ru c+� vJ(�S �� S n�f,�� c,�t ice-.K 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 Newkirk, Jeff Date Due 111 Bennett Rd Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/23/12 910537 Refund $ 70.00 7/24/12 912091 Refund $ 170.00 Total $ 240.00 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. Allowed 20 Newkirk, Jeff 111 Bennett Rd Carmel, IN 46032 In,Sum of$ $ 240.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-42 910537 4358400 $ 70.00 1 hereby certify that the attached invoice(s), or 1096-42 912091 4358400 $ 170.00 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 26-Jul 2012 Signature $ 240.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund