HomeMy WebLinkAbout211653 08/14/2012 a CITY OF CARMEL, INDIANA VENDOR: 366470 Page 1 of 1
4� ONE CIVIC SQUARE RYAN BRASSARD CHECK AMOUNT: $53.50
CARMEL, INDIANA 46032 1010 HENDON COURT
CARMEL IN 46032 CHECK NUMBER: 211653
CHECK DATE: 8114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4358400 53 . 50 REFUNDS AWARDS & INDE
FACILITY REFUND RECEIPT
Receipt# 925250
lay Payment Date: 08/06/12
Household #: 49366
Parks&( �Creatlorl
Monon Community Center n A . . }j � Ryan Brassard Hm Ph: (765)271-8733
Carmel IN 46032 1010 Hendon Ct Wk Ph: (317) -
I AUG 0 7 2012 Carmel IN 46032 Cell Ph:
Phone: (317)848-7275
Fed Tax ID#35-6000972 ILL-
Facility
Reservation Details
RESERVATION CHANGE -Refund Of 53.50
Facility: West Park, Silo All
Reserv.Contact: Ryan Brassard, HM: (765)271-8733
Reserv.Number: 21787 Status: Firm
Purpose: Birthday Party
Anticipated Count: 40
Date Day Time Fees+Tax Discount Prev Paid Cur Paid Amount Due
08/05/2012 Sun 3:30P to 8:OOP 0.00 0.00 0.00 0.00 0.00
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Rental-Shelters 0.00 1.00 0.00 0.00 0.00
Special Questions: How did you hear about the Monon Center: CCPR Website
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/06/12 @ 11:24:25 by KLB FEES ADJUSTED ON CHANGED ITEMS(+) 50.00-
SALES TAX CHARGED ON CHANGED FEES(+) 3.50-
NET AMOUNT FROM CHANGED ITEMS 53:50=
TOTAL AMOUNT REFUNDED 53.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 53.50 Made By=_>REFUND FINAN With Reference=_>told wrong info.;refund granted
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 or credit card refunds.
The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are
left at zero for reservation purposes, but will be updated after the reservation date. As soon as this data is available, you will
be invoiced for the current amount due. Please remit to our office within 1 d f t invoice date.
in, 2U 2
Authorized Signature Date A 7 ature Date
Join us for Tour de Carmel
Bike along with us on Saturday, September 15, as we highlight some of the best parks, businesses, and entertainment Carmel
has to offer. This is a safe and family friendly event that allows you to create lasting memories while promoting fitness. From
training wheels to pedal clips, we have a route for you! Don't want to ride? Come volunteer with us! For more information visit
www.carmelclayparks.com.
�Oct 5- 3 3 qQ2
Page# 1 of 2
11 I##I _ 1 $ 407.00
12 ## _ $ 444.00
.............. ..... ........ ....
Markup Determiner........: ..................... ...... .. ......
10-15% Adaptive,Social&Community,Outreach Programs,Events
10-25% Health/Wellness,Safety Information
15-30% Nature,Outdoors,Arts,Culture
30-50% Fitness,Sports,Certification
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
Brassard, Ryan Date Due
1010 Hendon Ct
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/12 925250 Refund $ 53.50
Total $ 53.50
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
Brassard, Ryan
1010 Hendon Ct
Carmel, IN 46032 In Sum of$
$ 53.50
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept ept#
1095-3 925250 4358400 $ 53.50 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
9-Aug 2012
Signature
$ 53.56 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund