HomeMy WebLinkAbout218646 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 367029 Page 1 of 1
0 ONE CIVIC SQUARE TRINA NELSON THOMAS CHECK AMOUNT: $98.00
�,. CARMEL, INDIANA 46032 171 PEARL STREET
CARMEL IN 46032 CHECK NUMBER: 218646
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 98 . 00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Carmel �► Clay y Receipt# 1026408
Payment Date: 03/18/13
Household #: 45571
F1 -c F,
MAR 19 2013 1
Monon Community Center It rina Nelson Thomas Him Ph: (317)844-8902
Carmel IN 46032 Y, 171 Pearl Street
(Carmel IN 46032 Cell Ph:(317)442-1729
tnt22862@sbcglobal.net
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 98.00
Enrollee Name: Trina Nelson Thomas Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 337006-03 Adult Fencing 1 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/07/2012 (Cancelled)
Primary Instructor: Jeanne Slain
Class Location: Multi-Purpose Room Class Dates: 03/22/2013 to 04/19/2013
Monon Community Cntr 6:OOP to 7:OOP
F
Carmel, IN 46032 Scheduled Sessions: 4
(317)848-7275
Skip Days 04/05/2013
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/18/13 @ 11:44:21 by MML FEES CHANGED ON CANCELLED ITEMS(+) 98.00-
NET AMOUNT FROM CANCELLED ITEMS 98.00-
TOTAL AMOUNT REFUNDED 98.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 98.00 Made By=_>REFUND FINAN With Reference=_>low enrollment
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
_&Z
�utho rized Signature Date Aut rized�S' nature 6ate
1O% 50, i4 35S"400
Escape Day Passes are non-refundable.
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.
Thomas, Trina Nelson Terms
171 Pearl Street Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/13 1026408 Refund $ 98.00
Total $ 98.00
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.
Thomas, Trina Nelson Allowed 20
171 Pearl Street
Carmel, IN 46032
In Sum of$
$ 98.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1026408 4358400 $ 98.00 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
$ 98.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund