HomeMy WebLinkAbout223066 08/13/2013 ±,f CITY OF CARMEL, INDIANA VENDOR: 364034 Page 1 of 1
ONE CIVIC SQUARE HUA LUO
CARMEL, INDIANA 46032 14023 WASHITA CT CHECK AMOUNT: $104.00
o�a� CARMEL IN 46033 CHECK NUMBER: 223066
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 104 . 00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1118902
Ca- rMel a Clay Payment Date: 07/30/13
Parks&Recreation Household#: 22595
Monon Community Center Hua Luo Hm Ph: (317)571-8919
Carmel IN 46032 14023 Washita Ct. Wk Ph: (317)370-2741
Carmel IN 46033 Cell Ph:
tianbupa @yahoo.com
Phone: (317)848-7275
Fed Tax ID #35-6000972
Enrollment Details
CANCELLATION - Refund Of 52.00
Enrollee Name: Robert 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: 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
CANCELLATION - Refund Of 52.00
Enrollee Name: Liang Xu 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 JUL 3 l 2013
(317)848-7275
Cancel Reason: low enrollment 7G `
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/30/13 Q 12:42:01 by MML FEES CHANGED ON CANCELLED ITEMS(+) 104.00-
NET AMOUNT FROM CANCELLED ITEMS T04.00-
TOTAL AMOUNT REFUNDED 104.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 104.00 Made By=_>REFUND FINAN With Reference==>low enrollment
All refunds are subject to State Board of Accounts procedures and may take 4-6 wee_ks to process. No cash refunds will be
issued.
p2e 3v 3 7
Authorized Signature Date Au6orize4 gnat Date
Page# 1 of 2
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, Hua Terms
14023 Washita Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/13 1118902 Refund S 104.00
Total $ 104.00
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
I
Voucher No. Warrant No.
Luo, Hua Allowed 20
14023 Washita Ct
Carmel, IN 46033
in Sum of$
$ 104.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
Po#or Board Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
1096-50 1118902 4358400 $ 104.00 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
$ 104.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund