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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