HomeMy WebLinkAbout185838 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 364148 Page 1 of 1
ONE CIVIC SQUARE ETHEL LAWLISS CHECK AMOUNT: $98.00
s CARMEL, INDIANA 46032 10315 RUCKLE
INDIANAPOLIS IN 46280 CHECK NUMBER: 185838
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 417564 98.00 REFUNDS AWARDS INDE
4
ACTIVITY REFUND RECEIPT
Receipt 417564
Payment Date: 05105/10
Household 34138
Monon Center Ethel Lawliss Hm Ph: (317)846 -8860
C IN 46032 10315 Ruckle
N Indianapolis IN 46280 Cell Ph: (317)844-5142
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 98.00
Enrollee Name: Ethel Lawliss Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 107395 -01 Rumba 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/01/2010 (Cancelled)
Primary Instructor: Rob Jenkins
Class Location: Dance Studio Class Dates: 05/07/2010 to 06/25/2010
Monon Center 6:15P to 7:15P
F
Carmel IN 46032 Scheduled Sessions: 8
(317)848 -7275
Cancel Reason: low enrollment
GIL Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 98.00 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 05105/10 09:38:56 by MML FEES CHANGED ON CANCELLED ITEMS 98.00
NET AMOUNT FROM CANCELLED ITEMS 98.00
TOTAL AMOUNT REFUNDED 98:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 00 Made y REFUND FINAN With Reference low enrollment
All refunds a"re sub''e �to and of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued /NA4sh credit and funds.
I :L(�& 5/112L)
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1utfior� ignature a Authorized Signature Date
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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.
Lawliss, Ethel Terms
10315 Ruclde Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
515110 417564 Refund 98.00
Total 98.00
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.
Lawliss, Ethel Allowed 20
10315 Ruckle
Indianapolis, IN 46280
In Sum of
98.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE N0. ACCT#/TlTLE AMOUNT Board Members
Dept
1096 -50 417564 4358400 98.00 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
20 -May 2010
Signature
I 98.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund