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Home My WebLink About226198 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 367750 Page 1 of 1 ONE CIVIC SQUARE KAREN DEBOER CHECK AMOUNT: $100.00 CARMEL, INDIANA 46032 1030 CHURCHILL COURT o�ao INDIANAPOLIS IN 46280 CHECK NUMBER: 226198 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 100 . 00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt# 1166646 Carmel o Clay Payment Date: 11/01/13 Darks&Recreation [BY: NTR Household #: 289 V -- � 2013 Monon Community Center Karen DeBoer Hm Ph: (317)575-1993 Carmel IN 46032 1030 Churchill Court Wk Ph: (317)337-3011 fridianapolis IN 46280 Cell Ph:(317)525-4856 gkdeboer @yahoo.com Phone: (317)848-7275 Fed Tax ID#35-6000972 Enrollment Details CANCELLATION -Refund Of 20.00 Enrollee Name: Caleb Deboer Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number:. 238002-03 Fantastic Friday 0.00 0.00 0.00 0.00 0.00 arP -nrollment Date: 08/23/2013 (Cancelled) Class Location: Party Rooms A& B Class Dates: 11/15/2013 to 11/15/2013 Monon Community Cntr 6:OOP to 8:30P F Carmel, IN 46032 Scheduled Sessions: 1 (317)848-7275 Cancel Reason: Conflict CANCELLATION -Refund Of 60.00 Enrollee Name: Caleb Deboer Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 238042-01 Night at the Center 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 08/23/2013 (Cancelled) Class Location: Multipurpose Room C Class Dates: 11/01/2013 to 11/02/2013 Monon Community Cntr 6:OOP to 10:OOA F,Sa Carmel, IN 46032 Scheduled Sessions: 2 (317)848-7275 Cancel Reason: low enrollment PREVIOUS NET CREDIT HOUSEHOLD BALANCE 20.00 Processed on 11/01/13 @ 11:18:34 by BNT FEES CHANGED ON CANCELLED ITEMS(+) 80.00- NET AMOUNT FROM CANCELLED ITEMS 80,00-1 HH BALANCE APPLIED TO THIS RECEIPT(+) 20.00- TOTAL AMOUNT REFUNDED 100.00, NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 100.00 Made By==>REFUND FINAN With Reference=_> All refunds are subject to State Board of Accounts procedures and may take 4-6 wee s to process. No cash refunds will be issued. 1�-1 1 � I/y I►3 Page# 1 of 2 V�A� ACTIVITY REFUND RECEIPT I � .d�f Receipt# 1166646 Parks&Recreatioh Payment Date: 11/01/2013 Household #: 289 Authorized Signature Date Authorized Signature Date Escape Day Passes are non-refundable. Page# 2 of 2 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. DeBoer, Karen Terms 1030 Churchill Court Date Due Indianapolis, IN 46280 Invoice Invoice Description Date Number or note attached invoice(s) or bill(s)) Amount $ 100.00 11/1/13 1166646 Refund Total $ 100.00 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. DeBoer, Karen Allowed 20 1030 Churchill Court Indianapolis, IN 46280 In Sum of$ $ 100.00 _ ON ACCOUNT OF APPROPRIATION FOR 109 -MCC PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1096-70 1166646 4358400 $ 100.00 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 14-Nov 2013 Signature $ 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund