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HomeMy WebLinkAbout223088 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367437 Page 1 of 1 ONE CIVIC SQUARE TRACI MIZRAHI CHECK AMOUNT: $11.50 CARMEL,INDIANA 46032 12923 TRADD ST 2C CARMEL IN 46032 CHECK NUMBER: 223088 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 11 . 50 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt# 1115325 Carmel Clay Payment Date: 07/25/13 J ParksAecreatian Household #: 53348 C EElV�I� Monon Community Center Traci Mizrahi Hm Ph: (203)918-0668 Carmel IN 46032 JUL 2 9 2013 12923 Tradd St 2C Carmel IN 46032 Cell Ph:(203)918-0668 tmizrahi@yahoo.com Phone: (317)848.7275 By: Fed Tax ID#35-6000972 Enrollment Details ROSTER CHANGE- Refund Of 11.50 Enrollee Name: Traci Mizrahi Fees+Tax Discount Prey Paid Cur Paid Amount Due Activity Number: 137021-01 Tan 80.50 0.00 80.50 0.00 0.00 Enrollment Date: 05/05/2013 Enrolled) Primary Instructor: Dance Class Studio Class Location: Dance Studio B Class Dates: 06/04/2013 to 07/30/2013 Monon Community Cntr 7:15P to 8:OOP Tu Carmel, IN 46032 Scheduled Sessions: 8 (317)848-7275 Skip Days 07/02/2013 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 07/25/13 @ 15:24:47 by MML FEES ADJUSTED ON CHANGED ITEMS(+) 11.50- NET AMOUNT.FROM CHANGED.ITEMS 11.50 TOUL:AMdUNT::REFUNDED 11'50: NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 11.50 Made By(—=> NA N Wi Reference==>cancelled 1 session All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. �,� 3 AuthAedSignature D to Authorized Signature Date 10%, '50, 435M'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. Mizrahi, Traci Terms 12923 Tradd St 2C Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/25/13 1115325 Refund $ 11.50 Total $ 11.50 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. Mizrahi, Traci Allowed 20 12923 Tradd St 2C Carmel, IN 46032 In Sum of$ $ 11.50 ON ACCOUNT OF APPROPRIATION FOR 109 - MCC PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1096-50 1115325 4358400 $ 11.50 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the materials or services iternized thereon for which charge is made were ordered and received except 8-Aug 2013 Signature $ 11.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund