HomeMy WebLinkAbout183173 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363961 Page 1 of 1
ONE CIVIC SQUARE DARIN STRACKBEIN CHECK AMOUNT: $84.00
CARMEL, INDIANA 46032 1361 STONEY CREEK CIRCLE
CARMEL IN 46032 CHECK NUMBER: 183173
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 394574 84.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 394574
Payment Date: 03!02/10
Household 22101
Morton Center r, Darin Strackbein Hm Ph: (317)580 -9749
Carmel IN 46032 1361 Stoney Creek Circle Wk Ph: (317)575 -5500
Carmel IN 46032 Cell Ph:
ttrackbein @sbcglobal. net ,darinstrackbein @sbcglobal.net
Phone: (317)848 -7275 BYe
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 84.00
Enrollee Name: Morgan Strackbein Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 306399 -01 Pencil Drawing Techn 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/0612010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Art Studio Class Dates: 03/04/2010 to 04/2912010
Monon Center 5:45P to 7:15P
Th
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Skip Days 04/08/2010
Cancel Reason: low enrollment
G/L Code Descriptio.n__ Account Nu mber C Cntr Description Ac ____Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 84.00 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 03/02/10 17:28:58 by LVA FEES CHANGED ON CANCELLED ITEMS 84.00
NET AMOUNT FROM CANCELLED ITEMS 84.00
TOTAL AMOUNT REFUNDED 84.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund or 84.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No cash or credit card refunds.
Authorized Sig ture Date Autho zed Signature Dale
V 11 n'_Q_V\
Page 1
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.
Strackbein, Darin Terms
1361 Stoney Creek Circle Date Due
Carmel, IN 46032
k
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
312110 394574 Refund 84.00
Total 84.00
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.
Strackbein, Darin Allowed 20
1361 Stoney Creek Circle
Carmel, IN 46032
In Sum of
84.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 394574 4358400 84.00 l 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
/V �W,161122,OV J
Signature
84.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund