HomeMy WebLinkAbout183136 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363952 Page 1 of 1
t ONE CIVIC SQUARE JENNIFER DUBP
CARMEL, INDIANA 46032 3152 MARALICE DRIVE CHECK AMOUNT: $30.00
roe
CARMEL IN 46033 CHECK NUMBER: 183136
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 393904 30.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 393904
Payment Date: 03/01/10
Household 32948
Monon Center Jennifer Dubp Hm Ph: (317)578 -7303
Carmel IN 46032 3152 Maralice Dr
Carmel IN 46033 Cell Ph:
jendubp @yahoo.com
Pone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Jennifer Dubp Fees Tax Discount Prev Paid Cur Paid Amount Dug
Activity Number: 309047 -01 Prince Charming's Ba 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/18/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Banquet Room -All 3 Class Dates: 02/05/2010 to 02/05/2010
Monon Center 6:OOP to 9:OOP
F
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: advanced request
CANCELLATION Refund Of 15.00
Enrollee Name: Josh Dubp Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 309047 -01 Prince Charming's Ba 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/1812010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Banquet Room -All 3 Class Dates: 02/05/2010 to 02/05/2010
Monon Center 6:OOP to 9:00P
F
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: advanced request
GIL Code Descriptio Acco Number Cs Cntr Descriptio Accou N u m be r Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 30.00 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 03/01110 10:08:23 by SAC 7 "J CHANGED ON CANCELLED ITEMS 30.00
2010 NET AMOUNT FROWCANCELLED ITEMS 30.00.
TOTAL AMOUNT REFUNDED 30.00
)BY:
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 393904
Payment Date: 03/01/2010
Household 32948
Refund of 30.00 Made By REFUND FINAN With Reference weather
All refunds are subject to State Board of Accounts claim procedure and may take 4 -8 weeks to process. A check will be
i ed. No cash or credit card r unds.
1
Authorized Signature Date Aut orized Signature Date
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.
Dubp, Jennifer Terms
3152 Maralice Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/1110 393904 Refund 30.00
Total 30.00
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.
Dubp, Jennifer Allowed 20
3152 Maralice Dr
Carmel, IN 46033
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -60 393904 4358400 30.00 1 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
11 -Mar 2010
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund