HomeMy WebLinkAbout216249 01/09/2013 a CITY OF CARMEL, INDIANA VENDOR: T355435 Page 1 of 1
I; 0 ONE CIVIC SQUARE EMILY MARLIN CHECK AMOUNT: $198.00
;4�iro CARMEL, INDIANA 46032 761 E MAIN ST
s roe- CARMEL IN 46032 CHECK NUMBER: 216249
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 198 . 00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 983073
Carmel @ Clay Payment Date: 12/17/12
NirksAecrcatlon Household #: 49867
Monon Community Center FB 7 2012 Emily Marlin Hm Ph: (317)804-5265
Carmel IN 46032 761 E. Main Street
Carmel IN 46032 Cell Ph:(317)332-1021
emily.marlin@comcast.net
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 99.00
Enrollee Name: Landon Marlin Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476011-04 School's Out Camp 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/14/2012 (Cancelled)
Class Location: Mohawk Trails Elem Class Dates: 12/26/2012 to 12/28/2012
Mohawk Trails Elemen 7:OOA to 6:OOP
4242 East 126th Street W,Th,F
Carmel, IN 46033 Scheduled Sessions: 3
(317)848-7275
CANCELLATION - Refund Of 99.00
Enrollee Name: Landon Marlin Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476011-08 School's Out Camp 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/14/2012 (Cancelled) z
,t
Class Location: Mohawk Trails Elem Class Dates: 01/02/2013 to 01/04/2013
Mohawk Trails Elemen 7:OOA to 6:OOP
4242 East 126th Street W,Th,F
Carmel, IN 46033 Scheduled Sessions: 3
Cancel Reason: C-7 ill not attend school's out camp \ V
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 12/17/12 @ 09:30:03 by JAB FEES CHANGED ON CANCELLED ITEMS(+) 198.00-
NET AMOUNT FROM CANCELLED ITEMS, 198.00
I TOTAL AMOUNT REFUNDED 198.00
( v NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 198.00 Made By=_>REFUND FINAN With Reference=_>check refund
Al ref nds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
Csued.
d� Z
Auth ' d Si azure Date Authorized Signature Date
Page# 1 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.
Marlin, Emily Terms
761 E. Main Street Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/17/12 983073 Refund $ 198.00
Total $ 198.00
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.
Marlin, Emily Allowed 20
761 E. Main Street
Carmel, IN 46032
In Sum of$
$ 198.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 983073 4358400 $ 198.00 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
$ 198.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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