HomeMy WebLinkAbout212936 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366549 Page 1 of 1
ONE CIVIC SQUARE MACKENZIE BROWNING
CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 12071 EVERWOOD CIRCLE
NOBLESVILLE IN 46060 CHECK NUMBER: 212936
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 60 . 00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Carmel � Clay Receipt# 944261
Payment Date: 09/05/12
Parks&Recreation Household #: 48674
Monon Community Center Mackenzie Browning Hm Ph: (317)654-5903
Carmel IN 46032 SEP 0 7 2012 12071 everwood circle
Noblesville IN 46060 Cell Ph:
Phone: (317)848-7275 BY:
Fed Tax ID#35-6000972
Enrollment Details
ROSTER CHANGE- Refund Of 60.00
Enrollee Name: Mackenzie Browning Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 123050-01 Private Swim Lessons 60.00 0.00 60.00 0.00 0.00
Enrollment Date: 08/13/2012 (Enrolled)
Class Location: Ind Lesiure 6 Class Dates: 04/01/2012 to 08/31/2012
Monon Community Cntr 12:OOA to 12:OOA
Mon thru Sun
Carmel, IN 46032 Scheduled Sessions: 153
(317)848-7275
Special Questions: How long is each lesson (30 min. or 45 min.)?: 45 minutes- Give a 4 punch pass
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/05/12 @ 11:13:46 by NMH FEES ADJUSTED ON CHANGED ITEMS(+) 60.00-
NET AMOUNT FROKCHANGED1TEMS, 60.00-
TOTAL AMOUNT REFUNDED 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 60.00 Made By==>REFUND FINAN With Reference==>Check Refund
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.
Authorized Signature Date Authorized Signature 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.
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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.
Browning, Mackenzie Terms
12071 Everwood Circle Date Due
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/5/_12_ _ _ 944261 Refund $ 60.00
Total $ 60.00
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.
Browning, Mackenzie Allowed 20
12071 Everwood Circle
Noblesville, IN 46060
In Sum of$
$ 60.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-10 944261 4358400 $ 60.00 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
20-Sep 2012
Signature
$ 60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund