213302 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 366571 Page 1 of 1
ONE CIVIC SQUARE CLAIRE HARRITY
CARMEL, INDIANA 46032 1359 HOLDEN COURT CHECK AMOUNT: $69.00
.� CARMEL IN 46032
CHECK NUMBER: 213302
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 69 . 00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 953178
Carmel & Clay Payment Date: 09/24/12
Darks&Reereatidh Household #: 46847
RF��$� T �
Monon Community Center SEP 2 4 2012 Claire Harrity Hm Ph: (317)581-0185
Carmel IN 46032 1359 Holden Court
Carmel IN 46032 Cell Ph:(317)730-1418
�Y; saylescl@aol.com
Phone: (317)848-7275
Fed Tax ID #35-6000972
Enrollment Details
CANCELLATION - Refund Of 69.00
Enrollee Name: Ella Harrity Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 225113-01 Colors & Shapes on t 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/04/2012 (Cancelled)
Class Location: Meeting Room Class Dates: 09/07/2012 to 09/28/2012
Monon Community Cntr 10:20A to 11:OOA
F
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/24/12 @ 15:25:18 by LVA FEES CHANGED ON CANCELLED ITEMS(+) 69.00-
NET AMOUNT FROM CANCELLED ITEMS 69.00-
TOTAL AMOUNT REFUNDED 69.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 69.00 Made By==>REFUND FINAN With Reference==>advanced request
All retjqnds are subject to State Board of Accounts claim procedure and may t ke -6 weeks to process. A check will be
iss O . No cash or credit cW refunds.
Authorized Sig at re Date uth z d Sig lure ate
Join us at West Park on Saturday, October 6, from 4-9pm, for our Fall Food Festival & Benefit. Local food trucks, restaurants,
and beer/wine vendors compete to be the first ever Fall Food Festival Winner! Try their favorite dishes, relax with the music,
and enjoy a beautiful day at the park with your family. Help children and families participate in department-wide activities;
proceeds will help fund scholarships. $5/person entry fee. There will be an additional cost for food and drink purchases.
Register online at www.carmelclayparks.com.
Escape Day Passes are non-refundable.
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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.
Harrity, Claire Terms
1359 Holden Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/24112 953178 Refund $ 69.00
Total $ 69.00
I 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.
Harrity, Claire Allowed 20
1359 Holden Court
Carmel, IN 46032
In Sum of$
$ 69.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-32 953178 4358400 $ 69.00 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
4-Oct 2012
Signature
$ 69.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund