HomeMy WebLinkAbout184496 04/14/2010 VOID REISSUED 184950 CITY OF CARMEL, INDIANA VENDOR: T359198 Page 1 of 1
ONE CIVIC SQUARE SUSAN M TACKETT
z, CARMEL, INDIANA 46032 12412 WESTMORLAND DR CHECK AMOUNT: $16.00
FISHERS IN 46037
CHECK NUMBER: 184496
CHECK DATE: 4/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 406818 16.00 REFUNDS AWARDS INDE
Sj
ACTIVITY REFUND RECEIPT
Receipt 406818
Payment Date: 04/05/10
Household 30074
lonon Center Shelly Tackett Hm Ph: (317)598 -8795
armel IN 46032 12412 Westmorland Dr.
Fishers IN 46037 Cell Ph:
tradetek @yahoo.com
hone: (317)848 -7275
ed Tax ID #35- 6000972
Arollment Details
CANCELLATION Refund Of 16.00
Enrollee Name: Bill Tackett Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 308090 -02 Gym Games 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03122/2010 (Cancelled)
Class Location: Gymnasium B Class Dates: 04/01/2010 to 04/29/2010
Monon Center 5:30P to 6:30P ksg Lt !J
Th
Carmel IN 46032 Scheduled Sessions: 4 A PR 0 20 10
(317)848 -7275
Skip Days 04/08/2010
BY:
Cancel Reason: low enrollment
GIL Co Descri Account Number C st Cntr Descri Account Number Amo
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 16.00 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 04/05/10 12:50:39 by BNT FEES CHANGED ON CANCELLED ITEMS 16.00
NET AMOUNT FROM CANCELLED ITEMS r 16;00-1
TOTAL AMOUNT REFUNDED7' 16.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 16�01) Made By REFUND FINAN With Reference C��, o llment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
ed. No cash or cre it card refunds.
M V
o
Authorized Signatu LI Date Authorized Signature Date
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.
Tackett, Shelly Terms
r 12412 Westmorland Dr Date Due
Fishers,'IN 46037
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4!5110 406818 Refund 16.00
Total 16.00
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
1 20
Clerk- Treasurer
1
Voucher No. Warrant No.
Tackett, Shelly Allowed 20
12412 Westmorland Dr
Fishers, IN 46037
In Sum of
16.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members
Dept
1096 -70 406818 4358400 16.00 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
8 -Apr 2010
I
Signature
Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund