213303 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 366572 Page 1 of 1
0 ` ONE CIVIC SQUARE MADHU KADABA CHECK AMOUNT: $42.00
CARMEL, INDIANA 46032 2254 BRIGHTWELL PLACE
INDIANAPOLIS IN 46260 CHECK NUMBER: 213303
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4358400 42 . 00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 953677
Liar Payment Date: 12
Household#: 48083
Pars�� 1 48083
Re, lrealo
Carmel Clay Parks & Recreation SEP 2 6 2012 Madhu Kadaba Hm Ph: (317)587-2229
1235 Central Park Drive East 2254 Brightwell pi
Carmel IN 46032 BY: indianapolis IN 46260 Cell Ph:
deepc12 @gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 42.00
Enrollee Name: Tanvi KadabB Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 123103-49 Preschool Level 1 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/06/2012 (Cancelled)
Class Location: Ind Leisure 3 Class Dates: 08/06/2012 to 08127/2012
Monon Community Cntr 6:15P to 7:OOP
M
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09126/12 @ 13:27:47 by ABK FEES ADJUSTED ON CHANGED ITEMS(+) 42.00-
-NET AMOUNT-F.ROM CHANGED ITEMS '42.00-
TOTAL`AMOUNT,REFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 42.00 Made By==>REFUND FINAN With Reference==>HH credit refunded
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,cred' card refunds. Qj ��(
X"),Authorized Si gna re Date Authorized Signatuar at
C_
Join us at West Park on Saturday, October 6, from 4-9pm, for our Fall Food Festival enefit. 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.
'5 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.
Kadaba, Madhu Terms
2254 Brightwell PI Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9126/12 953677 Refund $ 42.00
Total $ 42.00
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.
Kadaba, Madhu Allowed 20
2254 Brightwell PI
Indianapolis, IN 46260
In Sum of$
$ 42.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 953677 4358400 $ 42.00 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
$ 42.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund