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City of Smyrna Parks and Recreation Department 200 Village Green Circle Smyrna, GA 30080 Phone: (770) 431-2842 FAX: (770) 431-2865 Email: jmyers@smyrnaga.gov

NANDHA KITTUSAMY 3114 SPRING HILL PKWY SE APT B SMYRNA, GA 30080

Receipt #1090612.002 Apr 26, 2016 11:49 AM

SMYRNA, GA 30080 Receipt #1090612.002 Apr 26, 2016 11:49 AM Prepared By: Tyler Addison Customer ID:

Prepared By: Tyler Addison Customer ID: 26440

Primary phone: (678) 622-1385, Secondary phone: --

Payment Summary

Check:

$0

Cash:

$0

Credit Card:

$180.00 Visa xxx4679, Auth# 07692C

Memo:

$0

Account:

$0

Gift Card:

$0

Financial Aid:

$0

Total Received:

$180.00

Total Payments:

$180.00

 

Payment Plan:

$0

Transactions

Customer

Description

Item

Unit

Qty

Fee Charge

Nandha Kittusamy 3114 Spring Hill Pkwy SE Apt B Smyrna, GA 30080 Primary phone: (678)

Cricket Games #11250 Action: Paid on Account Balance 1 Location: Cobb Park Field at Cobb Park Permit # 11250

Fields

Per

$180.00

Resident

Hour

Rental

Fee Day

622-1385

Email:

knandhu1987@gmail.com

ID: 26440

Total Charges $180.00

Total Payments $180.00

Balance $0

Refund request (s) for facility rentals or registration fees for programs offered must be made in writing at least 14 days prior to the requested date for your reservation or start date of the registered program. Approved refunds will be administered minus a 10% administrative fee. Request for refunds will not approved/given if cancellation if less than 14 days.

If SPRD or the instructor cancels a program, 100% of the registration fee will be refunded. Allow 3-4 weeks for a refund.

In case of inclement weather, SPRD will allow you to reschedule the event for another time or facility (of equal or lesser value) within three months of the original date of event. Refunds will not be given in the event of inclement weather. Reschedules must be made within 7 business days.

Permit Contract

City of Smyrna Parks and Recreation Department 200 Village Green Circle Smyrna, GA 30080 Phone: (770) 431-2842 FAX: (770) 431-2865 Email: jmyers@smyrnaga.gov

Nandha Kittusamy 3114 Spring Hill Pkwy SE Apt B Smyrna, GA 30080 Email: knandhu1987@gmail.com

Permit #11250, Approved Apr 25, 2016 12:06 PM

Permit #11250, Approved Apr 25, 2016 12:06 PM Customer Type: General Prepared By: Tyler Addison Customer

Customer Type: General

Prepared By: Tyler Addison

Customer ID: 26440 Primary: (678) 622-1385

Charges

Taxes

Discounts

Total Charges

Deposits

Deposit Taxes

Total Payments

Refunds

Balance

$180.00

$0

$0

$180.00

$0

$0

($180.00)

$0

$0

 
 

Event

Resource

Center

Notes

Cricket Games Type: Multi-Purpose/Sports Field Reservation Attend/Qty: 20

 

Cobb Park Field

Cobb Park 2800 Sanford Place Smyrna, GA 30080 (770) 431-2842

--

 

Days Requested

Event

Duration

Event

Day

Date

Begins

Ends

Saturday

Jun 25, 2016

3:30 PM

2 hours

Jun 25, 2016 at 5:30 PM

 

Saturday

Jul 9, 2016

11:45 AM

2 hours

Jul 9, 2016 at 1:45 PM

 

Saturday

Jul 9, 2016

3:30 PM

2 hours

Jul 9, 2016 at 5:30 PM

 

Saturday

Jul 16, 2016

11:45 AM

2 hours

Jul 16, 2016 at 1:45 PM

 

Saturday

Jul 23, 2016

9:00 AM

2 hours

Jul 23, 2016 at 11:00 AM

 

Saturday

Jul 30, 2016

9:00 AM

2 hours

Jul 30, 2016 at 11:00 AM

 
 

Summary

 

Notes

Total Number of Dates: 6 Total Time: 12 hours

 

--

 

Event /

 
 

Description

 

Resource

Unit Fee

Units

Tax

Charge

Fields Resident Rental Fee Day

Cricket Games #11250 Cobb Park Field

$15.00

12.00

--

$180.00

 
 

Resource

Receipt #

Date

Charge Description

Event

Payment

1090612.002

Apr 26, 2016

Fields Resident Rental Fee Day

Cobb Park Field Cricket Games #11250

 

$180.00

Terms & Conditions: This agreement, when signed by the applicant, constitutes a contractual agreement binding both parties to certain obligations. The applicant agrees to observe and obey all City rules and regulations. In addition, it shall be the responsibility of the applicant to pay the required fee at the time of reservation.