GLOBAL REFUND RECEIPT

Receipt # 717773
Payment Date: 09/30/22
Household: 25744

Elgin Parks and Recreation Jamcy Casanova Saldana

100 Symphony Way 700 E State St
Elgin, IL 60120 Elgin IL 60177
Phone: (847)531-7000 jamcycasanova1314@gmail.com

Activity Cancellation: 403105-04 (Level 2 (Primary Skills) - Sundays @ 9:00am)

New Fees Total Fees New Paid Total Paid Amount Due
Enrollee Name: Jenissa Casanova 31.00- 54.00 31.00- 54.00 0.00
Enrollment Date: 08/19/2022
Enrollment Status: Cancelled

Meeting Details: This Class meets from 08/21/2022 to 10/09/2022 at 9:00 am to 9:40 am on Su
Class Location: Adventure Island Leisure Pool

Special Questions: Do you have any special needs requirements? If yes, email parksandrec@cityofelgin.org. (Yes or No
answer is Required): no
Cancellation Questions: Cancellation Notes:

Pass Cancellation: PSL (Private Swim Lesson)

Pass Holder: Jamcy Casanova Saldana New Fees Total Fees New Paid Total Paid Amount Due
Pass Number: 29832 54.00- 0.00 54.00- 0.00 0.00
Valid Dates: 08/19/2022 to 08/19/2023
Special Questions: Day and Time Preference: Sunday's afternoon
Instructor Preference: Spanish Speaking Instructor
What is the best phone number to reach you? .
Cancellation Questions: Cancellation Notes: Couldn't find instructor that fit the needs

Processed on 09/30/22 @ 1:41 pm by jimenez_j Total New Fees 85.00-

Discount Applied 0.00
Total New Taxes 0.00
Total Due 85.00-

Total Fees Refunded 85.00

Total Taxes Paid 0.00
Total Refunded 85.00

Household Balance Information

Overall Household Balance Due 0.00

Refund of: 85.00 Made By:CREDIT CARD Card#: xxxxxxxxxxxx4035 With Reference:
Payment of: 54.00 Made By: Activity Enrollment Credit Balance

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