HomeMy WebLinkAbout185371 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 364124 Page 1 of 1
ONE CIVIC SQUARE DAVID OCKERMAN
CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 659 DANIEL CT
WESTFIELD IN 46074 CHECK NUMBER: 185371
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 415256 25.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 415256
Payment Date: 04/27/10
Household 29179
W TO
Monon Center APR 2 ?010 David Ockerman Hm Ph: (317)867 -2075
Carmel IN 46032 659 Daniel Court
Westfield IN 46074 Cell Ph:
Phone: (317)848 -7275 BY'
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 25.00
Enrollee Name: Glenda Ockerman Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 194060 -01 Body Assessment 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/31/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Assessment Room Class Dates: 05/01/2009 to 08/31/2009
Monon Center 1:OOA to 1:15A
Mon thru Sun
Carmel, IN 46032 Scheduled Sessions: 123
(317)848 -7275
Cancel Reason: husband's Illness
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 25.00 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 04/27/10 13:56:43 by TCP FEES CHANGED ON CANCELLED ITEMS 25.00
NET AMOUNT FROM CANCELLED,ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 25.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 25.00 Made By REFUND FINAN With Reference husband's illness
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
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Authorized Signature Date Authorized Signature 6ate
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.
Ockerman, David Terms
659 Daniel Court Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/27/10 415256 Refund 25.00
Total 25.00
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
Voucher No. Warrant No.
Ockerman, David Allowed 20
659 Daniel Court
Westfield, IN 46074
In Sum of
25.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 415256 4358400 25.00 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
5 -May 2010
yh- P
Signature
25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund