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