223189 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367440 Page 1 of 1
ONE CIVIC SQUARE EDWARD SCHNEIDER
0 CARMEL, INDIANA 46032 CHECK AMOUNT: $52.00
�,�=•ra 6409 SHANAGAN ST
DUBLIN OH 43016 CHECK NUMBER: 223189
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 52 . 00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1118930
Carmel Clay Payment Date: 07/30/13
Darks&Recreation Household #: 54947
Monon Community Center I JUL 3 1 2013 Edward Schneider Hm Ph: (614)787-4514
Carmel IN 46032 6409 Shanagan St.
Dublin OH 43016 Cell Ph:
jaynamiller @columbus.rr.com
Phone: (317)848-7275
Fed Tax ID #35-6000972
Enrollment Details
CANCELLATION - Refund Of 52.00
Enrollee Name: Edward Schneider Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 137006-01 MCC Summer Open 2013 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/24/2013 (Cancelled)
Class Location: Gymnasium A Class Dates: 08/03/2013 to 08/03/2013
Monon Community Cntr 8:OOA to 8:OOP
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848-7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/30/13 @ 12:59:52 by MML FEES CHANGED ON CANCELLED ITEMS(+) 52.00-
NET AMOUNT FROM CANCELLED ITEMS 52.00-
TOTAL AMOUNT REFUNDED 52.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 52.00 Made By==>REFUND FINAN With Reference=_>low enrollment
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
Authorized Signature Date ut riz Signature Date'
10%.;5(, 4 ��$�fdd
Escape Day Passes are non-refundable.
Page# 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARM EL
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.
Schneider, Edward Terms
6409 Shanagan St. Date Due
Dublin, OH 43016
Invoice Invoice jc,ription
Date Number (
or note attac nvoice(s) or bill(s)) Amount
� 52.00
7/30/13 1118930 Refund
i
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.
Schneider, Edward Allowed 20
6409 Shanagan St.
Dublin, OH 43016
In Sum of$
$ 52.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1118930 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
8-Aug 2013
Signature
$ 52.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund