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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. f2�v1 X74 Authorized �S.ture Date Au orized Signature 6ate e (0 Ads 12�g JAN 2 g 2010 la's:...... 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