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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

Receipt #1090612.002
Apr 26, 2016 11:49 AM

Prepared By: Tyler Addison


Customer ID: 26440

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

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


Check:
Credit Card:

$0

Account:

$0

Financial Aid:

$0

Total Received:

$180.00

Transactions
Customer
Nandha Kittusamy
3114 Spring Hill Pkwy SE
Apt B
Smyrna, GA 30080
Primary phone: (678)
622-1385
Email:
knandhu1987@gmail.com
ID: 26440

Cash:

$0

Memo:

$0

Gift Card:

$0

Total Payments:

$180.00

Payment Plan:

$0

$180.00 Visa xxx4679, Auth# 07692C

Description

Item

Unit

Qty Fee Charge

Cricket Games #11250


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

Fields
Per
Resident Hour
Rental
Fee Day

$180.00

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

Permit #11250, Approved


Apr 25, 2016 12:06 PM

Customer Type: General

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

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

RESERVATIONS

Event

Resource

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

Day

Days Requested
Date

Cobb Park Field

Event
Begins

Center

Notes

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

--

Event
Ends

Duration

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

--

CHARGES

Description
Fields Resident Rental Fee Day

Event /
Resource
Cricket Games #11250
Cobb Park Field

Unit Fee

Units

Tax

Charge

$15.00

12.00

--

$180.00

Payments and Refunds

Receipt #
1090612.002

Date
Apr 26, 2016

Charge Description
Fields Resident Rental Fee Day

Resource
Event
Cobb Park Field
Cricket Games #11250

Payment
$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.