220152 05/21/2013 - CITY OF CARMEL, INDIANA VENDOR: T358009 Page 1 of 1
ONE CIVIC SQUARE PAMELA FRENZEL
$ 6 CARMEL, INDIANA 46032 12028 WOODS BAY COURT CHECK AMOUNT: $51.00
CARMEL IN 46033 CHECK NUMBER: 220152
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 51 . 00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1046624
Carmel lo la' Payment Date: 05/13/13
J Household #: 532
Parks&Recreatiol�
CIIV 13
Monon Community Center MAY 13 2013 Pamela Frenzel Hm Ph: (317)580-9790
Carmel IN 46032 12028 Woods Bay Court
Jztv. Carmel IN 46033 Cell Ph:(317)496-9824
°- psfrenzel @att.net
Phone: (317)848-7275
Fed Tax ID #35-6000972
Enrollment Details
CANCELLATION - Refund Of 51.00
Enrollee Name: Kacey Frenzel _Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 136124-02 Safe Sitter 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/01/2013 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Rms A&B Class Dates: 06/01/2013 to 06/01/2013
Monon Community Cntr 9:OOA to 4:OOP
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848-7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 05/13/13 @ 09:10:07 by LVA FEES CHANGED ON CANCELLED ITEMS(+) 58.00-
SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 7.00-
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 51.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 51.00 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
issue .
`� l3
Authorized Silf ure Da?e Aut rize ignature Efate If
Escape Day Passes are non-refundable.
qg
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.
Frenzel, Pamela Terms
12028 Woods Bay Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/13/13 1046624 Refund $ 51.00
Total $ 51.00
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.
Frenzel, Pamela Allowed 20
12028 Woods Bay Court
Carmel, IN 46033
In Sum of$
$ 51.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 1046624 4358400 $ 51.00 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
16-May 2013
&LUM 0-n-
Signature
$ 51.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund