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HomeMy WebLinkAbout218548 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 367028 Page 1 of 1 0 s)• ONE CIVIC SQUARE RYAN MCCORMICK CHECK AMOUNT: $5.00 CARMEL, INDIANA 46032 14437 HOWE DRIVE CARMEL IN 46032 CHECK NUMBER: 218548 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 5 . 00 PARKS DEPARTMENT REFU GLOBAL REFUND RECEIPT Receipt# 1027100 Carmel o Clay Payment Date: 03/20/2013 Household#: 31504 L7MAR ":TV�De�r �' fc' �1 Home Phone: (317)574-0080 Work Phone: (317)278-1308 2 013 RYAN MCCORMICK Monon Community Center 14437 HOWE DRIVE Carmel IN 46032 CARMEL IN 46032 Phone: (317)848-7275 Fed Tax ID#35-6000972 Enrollment Details CANCELLATION - Refund Of 5.00 Enrollee Name: Shane McCormick Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 339004-01 Spring Fever 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 03/03/2013 (Cancelled) Class Location: West Park Field Class Dates: 03/23/2013 to 03/23/2013 West Park 11:OOA to 2:OOP 2700 W. 116th St. Sa Carmel, IN 46032 Scheduled Sessions: 1 (317)848-7275 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 03/20/13 @ 13:34:05 by DMLEONARD FEES CHANGED ON CANCELLED ITEMS(+) 5.00- DISCOUNT APPLIED AGAINST CANCELLED FEES() 0.00 M^ NPP_�- SALES TAX CHARGED ON CANCELLED FEES(+) 0.00 TfQ U V11 IL NET AMOUNT FROM CANCELLED ITEMS �tn� 1 TOTAL AMOUNT REFUNDED 5.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 5.00 Made By=_>REFUND FINAN With Reference=_> All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. Null Authorized gnature Date Authorized Signature -+Date Escape Day Passes are non-refundable. loci 1000.435 EACO - GMi ho 1 Y 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. McCormick, Ryan Terms 14437 Howe-Drive Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3120113 1027100 Refund $ 5.00 Total $ 5.00 1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and 1 have audited same in accordance with IC 5-11-10-1.6 20_ Clerk-Treasurer Voucher No. Warrant No. McCormick, Ryan Allowed 20 14437 Howe Drive Carmel, IN 46032 In Sum of$ $ 5.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-60 1027100 4358400 $ 5.00 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 21-Mar 2013 Signature $ 5.00 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund