HomeMy WebLinkAbout224189 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 367558 Page 1 of 1
0 ONE CIVIC SQUARE KATHRYN ZINN CHECK AMOUNT: $144.45
CARMEL, INDIANA 46032 4802 DAVID ST
INDIANAPOLIS IN 46226 CHECK NUMBER: 224189
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4358400 144 . 45 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1141328
'C' t' h PY Payment Date: 08/28/13
Household #: 54864
r s& ecru a 10n
Monon Community Center `'' �� � Kathryn Zinn Hm Ph: (317)441-9699 F&Carmel IN 46032 AUG 2 9 2013 4802 David St
Indianapolis IN 46226 Cell Ph:
Phone: (317)848-7275 BY,
Fed Tax ID#35-6000972
Facility Reservation Details
CANCELLATION - Refund Of 144.45
Facility: The Waterpark, Cabana 10
Reserv.Contact: Kathryn Zinn, HM: (317)441-9699
Reserv.Number: 25333 Status: Cancelled
Purpose: Brown Family
Date Day Time Fees+Tax Discount Prev Paid Cur Paid Amount Due
07119/2013 Fri 11:00A to 8:OOP 0.00 0.00 0.00 0.00 0.00
Cancel Reason: rained out, promised refund for rental
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/28/13 @ 14:46:12 by KLB FEES CHANGED ON CANCELLED ITEMS(+) 135.00-
SALES TAX CHARGED ON CANCELLED FEES(+) 9.45-
NET�AMOUNTaFROM CANCELLED^ITEMS. -=144 45
tTOTAL?AMOUNT,.REFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 144.45 Made By==>REFUND FINAN With Reference=_>
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are
left at zero for reservation purposes, but will be updated after the reservation . As oon as this data is available,you will
be invoiced for the current amount due. Please remit to our office ' day oft e invoice date.
Authorized Signature Date Twized S nature bate
Escape Day Passes are non-refundable.
0a51 30 H301MCyOO
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.
Zinn, Kathryn Terms
4802 David St Date Due
Indianapolis, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/28/13 1141328 Refund $ 144.45
Total $ 144.45
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
Voucher No. Warrant No.
Zinn, Kathryn A.lowed 20
4802 David St
Indianapolis, IN 46226
In Sum of$
$ 144.45 _
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or Board Members
De t# INVOICE NO. ACCT#/TITLE AMOUNT
p
1095-3 1141328 4358400 $ 144.45 1 Thereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
r:-aterials or services itemized thereon for
which charge is made were ordered and
received except
5-Sep 2013
signature
$ 144.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund