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Home My WebLink About214751 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366716 Page 1 of 1 ONE CIVIC SQUARE PRAKASH MORTHA CARMEL, INDIANA 46032 3028 WARREN WAY APT B CHECK AMOUNT: $89.00 CARMEL IN 46033 CHECK NUMBER: 214751 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 89 . 00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt# 969459 Carmel a Clay Payment Date: 11/14/12 rksAecreation Household#: 49151 Monon Community Center 7 ' w.. F D Prakash Mortha Hm Ph: (317)663-3139 Carmel IN 46032 3028 warren way Wk Ph: (317)616-6583 Nov 1 Z��Z Apt B Cell Ph:(214)783-5929 E Carmel IN 46033 Phone: (317)848-7275 I , F prakash.mortha @gmail.com Fed Tax ID#35-6000972 i Refund Details Oria Bal Refund New Bal Module: Activity Registration 11.00- 11.00 0.00 PREVIOUS NET HOUSEHOLD BALANCE 11.00 Processed on 11/14/12 @ 15:37:12 by LVA NEW REFUND AMOUNT(-) 11.00 TOTAL REFUNDABLE AMOUNT 11.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 11.00 Made By=_>REFUND FINAN With Reference=_>advanced request All refunds are subject to State Board of Accounts procedures and may take -6w eks to process. No cash refunds will be issued. � l 2 Authorized Signature Date Authori d Si n- ure Dale Spend a relaxing evening taking a walk through the winter wonderland at Central Park on Saturday, December 1, from 6-9pm. Enjoy carolers and hot chocolate as you take in the ambiance of more than 1,000 luminaries lighting the path through the wetlands, floating over the lagoon, and spanning across the boardwalk. A beautiful sight of the 161-acre park is sure to be a memory for you and your family. Free to the public. Register at carmelclayparks.com. Escape Day Passes are non-refundable. i0g1o.10, H35NOO Page# 1 of 1 ACTIVITY REFUND RECEIPT Receipt# 969460 sane I v Clay Payment Date: 11/14/12 Household #: 49151 Parks&Recrcatidh RECEIVED Monon Community Center Prakash Mortha Hm Ph: (317)663-3139 Carmel IN 46032 NOV 15 2012 3028 warren way Wk Ph: (317)616-6583 Apt B Cell Ph:(214)783-5929 Carmel IN 46033 Phone: (317)848-7275 BSI: prakash.mortha @gmail.com Fed Tax ID#35-6000972 Enrollment Details CANCELLATION - Refund Of 78.00 Enrollee Name: Bhargava Mortha Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 136110-01 Skyhawks Soccer 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 11/05/2012 (Cancelled) Primary Instructor: Skyhawks Class Location: Gymnasium B Class Dates: 07/02/2013 to 07/23/2013 Monon Community Cntr 5:15P to 6:45P Tu Carmel, IN 46032 Scheduled Sessions: 4 (317)848-7275 Cancel Reason: low enrollment PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 11/14/12 @ 15:38:03 by LVA FEES CHANGED ON CANCELLED ITEMS(+) 78.00- NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 78.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 78.00 Made By==>REFUND FINAN With Reference==>low enrollment All refund re subject to State B and of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. / Authorized Signature Date ALKoriz i natur Da Spend a relaxing evening taking a walk through the winter wonderland at Central Park on Saturday, December 1, from 6-9pm. Enjoy carolers and hot chocolate as you take in the ambiance of more than 1,000 luminaries lighting the path through the wetlands,floating over the lagoon, and spanning across the boardwalk. A beautiful sight of the 161-acre park is sure to be a memory for you and your family. Free to the public. Register at carmelclayparks.com. Escape Day Passes are non-refundable. � 0Q (' - q �- q 3�-vyn 0 C -0��J Ch F0 VJ-A'-\ 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. Mortha, Prakash Terms 3028 Warren Way, Apt B Date Due Carmel, 1N 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/14/12 969460 Refund $ 78.00 11/14/12 969459 Refund $ 11.00 Total $ 89.00 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. Mortha, Prakash Allowed 20 3028 Warren Way, Apt B Carmel, IN 46033 In Sum of$ $ 89.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-42 969460 4358400 $ 78.00 1 hereby certify that the attached invoice(s), or 1096-10 969459 4358400 $ 11.00 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 /-, 15-Nov 2012 Signature $ 89.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund