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Home My WebLink About212964 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366550 Page 1 of 1 ONE CIVIC SQUARE STEPHANIE CLINE CARMEL, INDIANA 46032 14490 BRACKNEY LANE CHECK AMOUNT: $75.00 CARMEL IN 46032 CHECK NUMBER: 212964 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 75 . 00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT Receipt# 944601 Carmel le �` Payment Date: 09/06/12 Household#: 10807 Parks& e. creation Monon Community Center Stephanie Cline Hm Ph: (317)571-8189 Carmel IN 46032 FrT LOZ 0 I d1S 14490 Brackney Lane Carmel IN 46032 Cell Ph: - stephanie.cline @gmail.com Phone: (317)848-7275 -- Fed Tax ID #35-6000972 Enrollment Details CANCELLATION - Refund Of 75.00 Enrollee Name: Mia Cline Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 225216-02 Terrific Tappers 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 08/02/2012 (Cancelled) Class Location: Dance Studio B Class Dates: 09/10/2012 to 11/12/2012 Monon Community Cntr 9:30A to 10:OOA M Carmel, IN 46032 Scheduled Sessions: 10 (317)848-7275 Cancel Reason: low enrollment PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 09/06/12 Q 13:58:25 by LVA FEES CHANGED ON CANCELLED ITEMS(+) 75.00- NET AMOUNT FROM CANCELLED ITEMS 75.00 TOTAL AMOUNT REFUNDED 75.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 75.00 Made By==>REFUND FINAN With Reference=_> All refunds are subject to State Board of Accounts claim procedure and may take 4-6 weeks to process. A check will be issue o cash or credit card refunds. 10— _ g c� J(/ t Authorized Sig ure Date Auth&riz d 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. VA � - :�C-� — Ll�(�-ggno 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. Cline, Stephanie Terms 14490 Brackney lane Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/6/12 944601 Refund $ 75.00 Total $ 75.00 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. Cline, Stephanie Allowed 20 14490 Brackney lane Carmel, IN 46032 In Sum of$ $ 75.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-32 944601 4358400 $ 75.00 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 $ 75.00 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund