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HomeMy WebLinkAbout181934 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363852 Page 1 of 1 i l ONE CIVIC SQUARE ROLAND HOFER CHECK AMOUNT: $42.00 k. 4. CARMEL, INDIANA 46032 13652 FOSSIL DRIVE WESTFIELD IN 46074 CHECK NUMBER: 181934 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 42.00 REFUND y ACTIVITY REFUND RECEIPT Receipt 380478 Payment Date: 01/25/10 Household 6490 Monon Center Roland Hofer Hm Ph: (317)732 -4131 Carmel IN 46032 13652 Fossil Drive Westfield IN 46074 Cell Ph: rojo_46032 ©yahoo.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 21.00 Enrollee Name: Lucas Hofer Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number 486031 -01 Cartooning 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 12/14/2009 (Cancelled) Class Location: College Wood Elem Class Dates: 01/25/2010 to 02/08/2010 College Wood Element 2:45P to 3:45P 12415 Shelbourne Road M Carmel, IN 46032 Scheduled Sessions: 3 (317)848 -7275 CANCELLATION Refund Of 21.00 Enrollee Name: Justin Hofer Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 486031 -01 Cartooning 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 12/14/2009 (Cancelled) Class Location: College Wood Elem Class Dates: 01/25/2010 to 02/08/2010 College Wood Element 2:45P to 3:45P 12415 Shelbourne Road M Carmel, IN 46032 Scheduled Sessions: 3 (317)848 -7275 G/L Code Description Account Number Cst Cntr Description Account Number Amou,nt 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 42.00 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 01/25/10 11:20:06 by JAB FEES CHANGED ON CANCELLED ITEMS 42.00- I NET AMOUNT FROM CANCELLED ITEMS 42.00- I TOTAL AMOUNT REFUNDED 42.00 NEW NET HOUSEHOLD BALANCE 0.00 t Refund of 42.00 Made By REFUND FINAN With Reference check refund U k' fiRe 25 2010 Page 1 ACTIVITY REFUND RECEIPT Receipt 380478 Payment Date: 01/25/2010 Household 6490 All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No cash or credit card refunds. 01 2— tU 4 o ed Signature Date Authorized Signature Date j (1- X00 �35 P A \q\ 4S V C,1 m JAN 2 5 2010 j DT: Page 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. Hofer, Roland Terms 13652 Fossil Drive Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/25/10 380478 Refund 42.00 Total 42.00 1 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. Hofer, Roland Allowed 20 13652 Fossil Drive Westfield, IN 46074 In Sum of$ 42.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or Board Members INVOICE NO. ACCT #/TITLE AMOUNT Dept 1081 380478 4358400 42.00 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 28 -Jan 2010 ,0j/Ii02 Signature 42.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund