HomeMy WebLinkAbout223074 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367436 Page 1 of 1
ONE CIVIC SQUARE DAVID MARRONE
CARMEL, INDIANA 46032 305 W DELAWARE AVE CHECK AMOUNT: $52.00
URBANA IL 61801
CHECK NUMBER: 223074
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 52 . 00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Carmel Clad Receipt# 17
a i Payment Date: 07/30 07/30/13
Household #: 43490
ParksAecreation
Monon Community Center JUL 3 12013 David Marrone Hm Ph: (217)355-7335
Carmel IN 46032 305 W Delaware Ave
Urbana IL 61801 Cell Ph:
( marrone@financialsynergy.com
Phone: (317)848-7275 L_�'�._ ��- i
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION - Refund Of 52.00
Enrollee Name: David MarrOne 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: 07/09/2013 (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 @ 12:50:08 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 eeks to process. No cash refunds will be
issued.
uthorized Signature Date 4uthdredrature Date
10C . 50- 4 ,558,4foa
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.
Marrone, David Terms
305 W Delaware Ave Date Due
Urbana, IL 61801
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/13 1118917 Refund S 52.00
,r
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Marrone, David Allowed 20
305 W Delaware Ave
Urbana, IL 61801
In Sum of$
$ 52.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-50 1118917 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