HomeMy WebLinkAbout183169 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363765 Page 4 of 1
u= ONE CIVIC SQUARE CLAIRE OSBORNE
CHECK AMOUNT: $176.00
CARMEL, INDIANA 46032 1042$ HIGH GROVE
CARMEL IN 46032 CHECK NUMBER: 183169
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 396593 176.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 396593
Payment Date: 03/09/10
Household 12432
Monon Center t Claire Osborne Hm Ph: (317)818 -9692
Carmel IN 46032 MAR 2� 10428 High Grove
Carmel IN 46032 Cell Ph:
claire.osborne @sbcglobal.net
Phone: (317)848 -7275 13y:
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 98.00
Enrollee Name: Claire Osborne Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 307209 -01 Advanced Pencil Draw 0.00 0.00 0.00 o.00 D.DD
Enrollment Date: 02/22/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Art Studio Class Dates: 03/11/2010 to 04/29/2010
Monon Center 7:30P to 9:OOP
Th
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 7275
Cancel Reason: low enrollment
CANCELLATION Refund Of 78.00
Enrollee Name: Claire Osborne Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 307372 -01 Ballet 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/07/2010 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location. Fitness Studio B Class Dates: 02/0212010 to 03/23/2010
Monon Center 9:00A to 10:OOA
Tu
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Cancel Reason: low enrollment
G Code Description__ A ccoun t Numbe Cs_t Cntr _Description____ A Nu Amoun
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 176.00 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 03/09110 16:44;26 by MML FEES CHANGED ON CANCELLED ITEMS 176.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 176.00
NEW NET HOUSEHOLD BALANCE 0.00
Page f# 1
ACTIVITY REFUND RECEIPT
a Receipt 396593
Payment Date: 03/09/2010
Household 12432
Refund of 176.00 Made By REFUND FINAN With Reference low enrollment
This refund will be mailed to
All refunds are s bject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o4as edit and refunds.
'3 3 0
Au horized Signature at Auth ized Signature Da e
Page 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice Aill 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.
Osborne, Claire Terms
10428 High Grove Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3!9110 396593 Refund 176.00
Total 176.00
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
Voucher No_ Warrant No.
Osborne, Claire Allowed 20
10428 High Grove
Carmel, IN 46032
In Sum of
176.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 396593 4358400 176.00 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
176.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund