HomeMy WebLinkAbout180756 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 363724 Page 1 of 1
ONE CIVIC SQUARE KAREN BUSHFILED CHECK AMOUNT: $120.00
CARMEL, INDIANA 46032 9534 LONG ELL DRIVE
INDIANAPOLIS IN 46240 CHECK NUMBER: 180756
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 120.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 365100
Payment Date: 12/17/09
Household 295
Monon Center Karen Bushfield Hm Ph: (317)218 -3700
Carmel IN 46032 9534 Longwell Dr Wk Ph: (317)583 -6006
Indianapolis IN 46240 Cell Ph:
kabmathies @comcast.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 120.00
Enrollee Name: Karen Bushfield Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 307104 -01 French 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/01/2009 (Cancelled)
Primary Instructor: Language Training Center
Class Location: Banquet Room C Class Dates: 01/20/2010 to 03/10/2010
Monon Center 6:15P to 8:15P
W
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Cancel Reason: advanceed request
G/L Code Description Account Number Ca Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 120.00 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 12/17/09 11:16:53 by MML FEES CHANGED ON CANCELLED ITEMS 120.00-
NET AMOUNT FROM CANCELLED ITEMS 120.00-
TOTAL AMOUNT REFUNDED 120.00 1
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 120.00 Made By REFUND FINAN With Reference advanced request
All refunds are sub'-ct to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N. ca, redi card refunds.
Iginloci
Authors -d Signature Date Aut'orized Signature
4 7 4 4.5 20 4 358 1LO 1a xkA
0 DEC 2 1 2009 izi
Page 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.
Bushfield, Karen Terms
9534 Longwell Dr Date Due
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/17/09 365100 Refund 120.00I
Total 120.00
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
20
Clerk- Treasurer
Voucher No. Warrant No.
Bushfield, Karen Allowed 20
9534 Longwell Dr
Indianapolis, IN 46240
In Sum of$
120.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1047 365100 4358400 120.00 I 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
23 -Dec 2009
Y,20z/i/teiti
Signature
120.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund