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Home My WebLink About216775 01/29/2013 u�f CITY OF CARMEL, INDIANA VENDOR: 366910 Page 1 of 1 ONE CIVIC SQUARE ANN KNOPP ' CARMEL, INDIANA 46032 4960 BRIARWOOD TRAIL CHECK AMOUNT: $124.00 CARMEL IN 46033 CHECK NUMBER: 216775 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 124 . 00 REFUNDS AWARDS & INDE ACTIVITY REFUND RECEIPT Receipt# 991422 �' � Payment Date: 01/10/13 Household #: 3049 Par-ksAccreatlon Monon Community Center Ann Knopp Hm Ph: (317)566-0212 Carmel IN 46032 4960 Briarwood Tr. Carmel IN 46033 Cell Ph:(317)506-5141 knopptribe@yahoo.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Enrollment Details CANCELLATION - Refund Of 55.00 Enrollee Name: Kate Knopp Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 337032-01 Introduction to ASL 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 10/03/2012 (Cancelled) Primary Instructor: CCPR Staff Class Location: Program Room A Class Dates: 01/23/2013 to 02/27/2013 Monon Community Cntr 7:OOP to 8:30P W Carmel, IN 46032 Scheduled Sessions: 6 (317)848-7275 Cancel Reason: advanced request CANCELLATION - Refund Of 69.00 Enrollee Name: Ann Knopp Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 337032-01 Introduction to ASL 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 10/03/2012 (Cancelled) Primary Instructor: CCPR Staff Class Location: Program Room A Class Dates: 01/23/2013 to 02/27/2013 Monon Community Cntr 7:OOP to 8:30P W Carmel, IN 46032 Scheduled Sessions: 6 (317)848-7275 Cancel Reason: advanced request PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 01/10/13 @ 10:19:42 by MML FEES CHANGED ON CANCELLED ITEMS(+) 138.00- SURCHARGE APPLIED AGAINST CANCELLED FEES() 14.00- NET AMOUNT FROM CANCELLED ITEMS 124.00 TOTAL AMOUNT REFUNDED 124.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 124.00 Made By==>REFUND FINAN With Reference==>advanced request All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. Page# 1 of 2 ACTIVITY REFUND RECEIPT Carmel® I Receipt# 991422 rks& eCreatlon Payment Date: 01/10/2013 Household #: 3049 ! 10 1 ,3 t /3 Authorized Signature Date t ized Signature Date Y 1 oqG. 50. q�5 Mo 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. Knopp, Ann Terms 4960 Briarwood Tr Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/10/13 991422 Refund $ 124.00 Total $ 124.00 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. Knopp, Ann Allowed 20 4960 Briarwood Tr Carmel, IN 46033 ;In Sum of$ $ 124.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-50 991422 4358400 $ 124.00 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 24-Jan 2013 t I Signature $ 124.00 ; Accounts Payable Coordinator Cost distribution ledger classification if i Title claim paid motor vehicle highway fund i