HomeMy WebLinkAbout182549 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 363897 Page 1 of 1
0 ONE CIVIC SOUARE JUSTINN STAMPER
CARMEL, INDIANA 46032 9461 ASPEN GROVE LANE CHECK AMOUNT: $177.00
INDINANAPOLIS IN 46250 CHECK NUMBER: 182549
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 380575 177.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 380575
Payment Date: 01/25/10
Household 31992
Monon Center Justinn Stamper Hm Ph: (317)523 -6007
Carmel IN 46032 9461 Aspen Grove Ln
Indianapolis IN 46250 Cell Ph:
justinnstamper @rocketmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 27.00
Enrollee Name: Danielle Stamper Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 305258 -02 Cheer Porn Porn Dancin 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 12/03/2009 (Cancelled)
Class Location: Gymnasium C Class Dates: 02/03/2010 to 02/24/2010
Monon Center 3:15P to 4:00P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel treason: advanced request
CANCELLATION Refund Of 55.00
Enrollee Name: Danielle Stamper Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 305258 -03 Cheer Pom Pom Dancin 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 12/03/2009 (Cancelled)
Class Location: Gymnasium C Class Dates: 03/03/2010 to 03/24/2010
Monon Center 3:15P to 4.
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: advanced request
CANCELLATION Refund Of 55.00
Enrollee Name: Danielle Stamper Fees Tax Discount Prev Paid Cur Paid Amount Dug
Activity Number: 305258 -04 Cheer Pom Pom Dancin 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 12103/2009 (Cancelled)
Class Location: Gymnasium C Class Dates: 03/31/2010 to 04/28/2010
Monon Center 3:15P to 4:OOP
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Skip Days 04/07/2010
Cancel Reason: advanced request
CANCELLATION Refund Of 38.00
Enrollee Name: Danielle Stamper Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 306371 -01 Cheerleading 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/11/2010 (Cancelled)
Page 1
ACTIVITY REFUND RECEIPT
Receipt 380575
Payment Date: 01/25/2010
Household 31992
Primary Instructor: Tumble Time
Class Location: Party Rooms A B Class Dates: 01/13/2010 to 01/27/2010
Monon Center 4:OOP to 4:45P
W
Carmel, IN 46032 Scheduled Sessions: 3
(317)848 -7275
Cancel Reason: advanced request
G/L Code Descri Accou Number Cst Cntr Descri Acco Number Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 177.00 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 CREDIT HOUSEHOLD BALANCE 2.00
Processed on 01/25/10 16:34:09 by LVA FEES CHANGED ON CANCELLED ITEMS 203.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 28.00
NET AMOUNT FROM CANCELLED ITEMS 175.00
HH BALANCE APPLIED TO THIS RECEIPT 2.00
TOTAL AMOUNT REFUNDED 177.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 177.00 Made By REFUND FINAN With Reference advanced request
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued o cash or credit card refunds.
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Authorized �S.ture Date Au orized Signature 6ate
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Page 9 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be property 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.
Stamper, Justinn Terms
9461 Aspen Grove Ln Date Due
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1125110 380575 Refund 144.00
1125110 380575 Refund 33.00
Total 177.00
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
1
Voucher No. Warrant No.
Stamper, Justinn Allowed 20
9461 Aspen Grove Ln
Indianapolis, IN 46250
In Sum of
177.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#1TITLE AMOUNT Board Members
Dept
1096 -32 380575 4358400 144.00 I hereby certify that the attached invoice(s), or
1096 -42 380575 4358400 33.00 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.
11 -Feb 2010
Signature
177.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund