HomeMy WebLinkAbout222485 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 363431 Page 1 of 1
ONE CIVIC SQUARE CAMERON LUO
CARMEL, INDIANA 46032 12715 COVERED BRIDGE ROAD CHECK AMOUNT: $52.00
SELLERSBURG IN 47172
«o�� CHECK NUMBER: 222485
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 52 . 00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1113913
Carmel e Clay RECEIVED Payment Date: 13
30916
Household #: 30916
Parrs&Recreation JUL 2"4 2013
Monon Community Center 1BY: Cameron Luo Hm Ph: (812)246-1164
Carmel IN 46032 12715 Covered Bridge Rd.
Sellersburg IN 47172 Cell Ph:
csluo @hotmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION-Refund Of 52.00
Enrollee Name: Cameron Luo Fees,+Tax, Discount Prev Paid Cur Paid Amount Due
Activity Number: 137006-01 MCC Summer Open 2013 0.00 0.00 0.00 -0.00 0.00
Enrollment Date: 07109/2013 (Cancelled)
Class Location: Gymnasium A Class Dates: 08/03/2013 to 08/03/2013
Monon Community Cntr 8:OOA to 8:00P
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848-7275
Cancel Reason: advanced request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/24/13 @ 10:09:25 by MML FEES CHANGED ON CANCELLED ITEMS(+) 52.00-
NET AMOUNT.FROM;CANCELLEDITEMS 52.00
"TOTA"MOUNT<REFUNDED S2.00 i'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=> 52.00 Made By=_>REFUND FINAN With Reference=_>advanced request
All refun a subject to Pate Bo d of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issue
Authorized Signature Date Authorized Signature Date
DL) il � �
16�LI
Escape Day Passes are non-refundable.
Page 4 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.
Luo, Cameron Terms
12715 Covered Bridge Rd Date Due
Sellersburg, IN 47172
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/13 1113913 Refund $ 52.00
Total $ 52.00
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.
Luo, Cameron Allowed 20
12715 Covered Bridge Rd
Sellersburg, IN 47172
In Sum of$
$ 52.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1113913 4358400 $ 52.00 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
25-Jul 2013
�1
Signature
$ -52.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund