The URL can be used to link to this page

Home My WebLink About216027 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 366810 Page 1 of 1 ONE CIVIC SQUARE TAMMY FIFE-TROUT 4 0 CHECK AMOUNT: $95.00 CARMEL, INDIANA 46032 8620 DRIFTWOOD DRIVE INDIANAPOLIS IN 46240 CHECK NUMBER: 216027 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 95 . 00 PARKS DEPARTMENT REFU *' GLOBAL REFUND RECEIPT 7 Receipt# 984672 r , I y Payment Date: 12/19/12 Household#: 47763 Parks&Recreation Monon Community Center Tammy Fife-Trout Hm Ph: (317) - Carmel IN 46032 8620 Driftwood Drive Indianapolis IN 46240 Cell Ph:(317)581-9388 Phone: (317)848-7275 ltammy@comcast.net Fed Tax ID#35-6000972 Pass Details CANCELLATION - Refund Of 95.00 Pass Holder: Tammy Fife-Trout Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH Mthly (M MCHHM), #167642 665.00 0.00 0.00 665.00 0.00 Valid Dates: 05/06/2012 to 05/06/2013 (Pass Cancellation) Cancellation Effective: 12/19/2012 Cancel Reason: cancellation phone staff error 12/2/12 CANCELLATION Pass Holder: Greg Trout Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+(M MCHH+), #167643 0.00 0.00 0.00 0.00 0.00 Valid Dates: 05/06/2012 to 05/06/2013 (Pass Cancellation) Cancellation Effective: 12/19/2012 Pass Comments: Children must be age 11 or older to utilize the pools and/or gymnasium unaccompanied by an adult. Children ages 11-13 may use Fitness Center, but must be under adullt supervision. Children must be age 14+to utilize the Fitness Center without adult supervision. Cancel Reason: cancellation phone staff error 12/2/12 CANCELLATION Pass Holder: Morgan Fife-Trout Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+(M MCHH+), #167644 0.00 0.00 0.00 0.00 0.00 Valid Dates: 05/06/2012 to 05/06/2013 (Pass Cancellation) Cancellation Effective: 12/19/2012 Cancel Reason: cancellation phone staff error 12/2/12 CANCELLATION Pass Holder: Joseph Fife-Trout Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH+), #167645 0.00 0.00 0.00 0.00 0.00 Valid Dates: 05/06/2012 to 05/06/2013 (Pass Cancellation) Cancellation Effective: 12/19/2012 Cancel Reason: cancellation phone staff error 12/2/12 CANCELLATION Pass Holder: Jameshia Taylor Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+(M MCHH+),#167646 0.00 0.00 0.00 0.00 0.00 Valid Dates: 05/06/2012 to 05/06/2013 (Pass Cancellation) Cancellation Effective: 12/19/2012 Cancel Reason: cancellation phone staff error 12/2/12 Page# 1 of 2 � h GLOBAL REFUND RECEIPT Carmel � �I�/ Receipt# 984672 Parks&Recreation Payment Date: 12/19/2012 Household #: 47763 CANCELLATION Pass Holder: AJ Lewslaughter Fees+Tax Discount Prev Paid Cur Paid Amount Due Pass Type: MC HH+ (M MCHH+),#167647 0.00 0.00 0.00 0.00 0.00 Valid Dates: 05/06/2012 to 05/06/2013 (Pass Cancellation) Cancellation Effective: 12/19/_2001122 Cancel Reason: atll ion phone staff error 12/2/12 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 12/19/12 @ 12:47:46 by TLP FEES CHANGED ON CANCELLED ITEMS(+) 760.00- SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 665.00- NET:AMOUNT FROMrCANCELLED ITEMS` : ';,=' 95:00•• Q >=TOTAL YAMOUNT�REF._UNDEDa:,:`�f," • ;-: 95:00`+ NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 95.00 Made By==> FINAN With Reference==> All refunds are subject to oar of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. 4;�Z / _? 1 !G 12- Au on d Signa Date Authonz Sin lure Dale Escape Day Passes are non-refundable. Page# 2 of 2 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. Fife-Trout, Tammy Terms 8620 Driftwood Drive Date Due Indianapolis, IN 46240 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/19/12 984672 Refund $ 95.00 _'Total $ 95.00 l 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. f .i Fife-Trout, Tammy Allowed 20 8620 Driftwood Drive Indianapolis, IN 46240 i -Iri Sum of$ $ 95.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1092 984672 4358400 $ 95.00 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 3-Jan 2013 Signature $ 95.00 Accounts Payable_Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund