HomeMy WebLinkAbout223039 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367434 Page 1 of 1
ONE CIVIC SQUARE ALEX JOHNSON
CARMEL, INDIANA 46032 3107 DOGWOOD DR CHECK AMOUNT: $52.00
LOUISVILLE KY 40220
CHECK NUMBER: 223039
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 52 . 00 REFUNDS AWARDS & INDE
ACTIVITY REFUND RECEIPT
Receipt# 1118781
Carmel * Clay Payment Date: 07/30/13
Household#: 54930
Barks&Recreation
Monon Community Center Alex Johnson Hm Ph: (813)777-9807
Carmel IN 46032 3107 Dogwood Dr.
Louisville KY 40220 Cell Ph:
aljohnso@aerotek.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 52.00
Enrollee Name: Alex Johnson 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: 07/23/2013 (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 JUL 3 12013
(317)848-7275
i _ .
Cancel Reason: low enrollment LB v:_
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/30/13 @ 11:17:05 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 an4maytake 6w ks process. No cash refunds will be
issued.
zz= "713
Authorized Signature Date Alt rize Sig ture ate
10gG.5v, g5S *D
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.
Johnson, Alex Terms
3107 Dogwood Dr Date Due
Louisville, KY 40220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/13 1118781 Refund $ 52.00
Total $ 52.00
I 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.
Johnson, Alex Allowed 20
3107 Dogwood Dr
Louisville, KY 40220
In Sum of$
$ 52.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1118781 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