HomeMy WebLinkAbout224080 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 367207 Page 1 of 1
ONE CIVIC SQUARE MARTHA PAULEY CHECK AMOUNT: $85.00
i4 CARMEL, INDIANA 46032 13686 STONE DRIVE
'(;;iron`off CARMEL IN 46032 CHECK NUMBER: 224080
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 85 . 00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt# 1141473
Carmel 0 Clay Payment Date: 08/29/13
J Household #: 44295
Darks&Recreation � 'D
AUG AUG 3 0 2013
Monon Community Center Martha Pauley Hm Ph: (317)853-6401
Carmel IN 46032 b_Y 13686 Stone Drive
Carmel IN 46032 Cell Ph:(901)218-2555
curveofgold @gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Enrollment Details
CANCELLATION -Refund Of 85.00
Enrollee Name: Nate Pauley Fees+Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 135111-03 Pee Wee Golf 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/13/2013 (Cancelled)
Class Location: Plum Creek Golf Club Class Dates: 08/26/2013 to 08/29/2013
Plum Creek Golf Cour 9:OOA to 10:OOA
12401 Lynnwood Blvd. M,Tu,W,Th
Carmel, IN 46033 Scheduled Sessions: 4
(317)848-7275
Cancel Reason: cancelled by ccpr
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/29/13 @ 10:56:58 by MJN FEES CHANGED ON CANCELLED ITEMS(+) 85.00-
I�q 7�a ��O NET AMOUNT FROM CANCELLED ITEMS 85.00-
TOTAL AMOUNT REFUNDED 85.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 85.00 Made By==>REFUND FINAN With Reference=_>check refund
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued. J 161_�M /�tr/ I Zq 'I�
Authorized Signature Date Wzedgat.re Date
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.
Pauley, Martha Terms
13686 Stone Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/29/13 1141473 Refund $ 85.00
Total $ 85.00
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.
Pauley, Martha Allowed 20
13686 Stone Drive
Carmel, IN 46032
In Sum of$
$ 85.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-32 1141473 4358400 $ 85.00 1 hereby certify that the attached invoice(s), or
bi;l(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
5-Sep 2013
Signature
$ 85.00 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund