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HomeMy WebLinkAbout183138 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363954 Page 1 of 1 ONE CIVIC SQUARE KIM HOLLAND CARMEL, INDIANA 46032 11099 TIMBERVIEW DRIVE CHECK AMOUNT: $30.00 FISHERS IN 46037 CHECK NUMBER: 183138 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 393910 30.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 393910 Payment Date: 03/01/10 Household 14571 Monon Center Kim Holland Hm Ph: (317)131 -8644 Carmel IN 46032 11099 Timberview Drive Fishers IN 46037 Cell Ph: Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 15.00 Enrollee Name: Kim Holland 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: 01/24/2010 (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: weather CANCELLATION Refund Of 15.00 Enrollee Name: Drew Holland 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 Enroilment Date: 01124/2010 (Cancelled) Primary Instructor: CCPR Staff Class Location: Banquet Room -All 3 Class Dates: 02/05/2010 to 02/05/2010 Monon Center 6:00P to 9:OOP F Carmel, IN 46032 Scheduled Sessions: 1 (317)848 -7275 Cancel Reason: Weather GIL Code Descrip Account Number Cst Cntr Descripti Account Nu Amount 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 03/01/10 10:11:59 by SAC FEES CHANGED ON CANCELLED ITEMS 30.00 nn NET AMOUNT FROM CANCELLED ITEMS 30.00 La TOTAL AMOUNT REFUNDED 30.00 NEW NET HOUSEHOLD BALANCE 0.00 Page 1 ACTIVITY REFUND RECEIPT Receipt 393910 Payment Date: 03/01/2010 Household 14571 Refund of 30.00 Made By REFUND FINAN With Reference weather refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be tsu d. No cash or redit card e#rtnds. Authorized Signature Date Authori d Signature Date C`J (06 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. Holland, Kim Terms 11099 Timberview Drive Date Due Fishers, IN 46037 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 311110 393910 Refund 30.00 Total 30.00 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 w Voucher No, Warrant No. Holland, Kim Allowed 20 11099 Timberview Drive Fishers, IN 46037 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 393910 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 pzp' LL2/ YA2 Signature 30.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund