HomeMy WebLinkAbout186828 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364258 Page 1 of 1
ONE CIVIC SQUARE LESLIE GRANDMAIN
q CARMEL, INDIANA 46032 CHECK AMOUNT: $75.00
13894 GORUM MEADOWS DR
CARMEL IN 46033 CHECK NUMBER: 186828
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 443145 75.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 443145
Payment Date: 06/15/10
Household 17668
Monon Community Center Leslie Grandmain Hm Ph: (317)815 -9733
Carmel IN 46032 13894 Forum Meadows Dr Wk Ph: (317)
Carmel IN 46033 Cell Ph: (317)503 -5134
Igrand711 @juno.com
Phone: (317)$48 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 75.00
Enrollee Name: Christopher Westfield Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476009 -33 Skyhawks Sports 75.00 0.00 75.00 0.00 0.00
Enrollment Date: 02/17/2010 (Cancelled)
Class Location: Gymnasium C Class Dates: 08/0212010 to 08/06/2010
Monon Community Cntr 9:OOA to 3:00P
M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: schedule conflict
GIL Code Descrip Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 75.00 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 06/15/10 11:47:34 by BJJ FEES CHANGED ON CANCELLED ITEMS 75.00
.NETAMOUNTFROM'CANCELLEDdTEMS m7 "75:00
.TOTALAMOUNT REFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 75.00 Made By R FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A chec will be
issued. N cash or credit card refunds. (e f
I J�IO
uthorize gnature Date Authorized Signature Date
S� q (10
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.
Grandmain, Leslie Terms
13894 Forum Meadows Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15110 443145 Refund 75.00
Total I 75.00
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.
Grandmain, Leslie Allowed 20
13894 Forum Meadows Dr
Carmel, IN 46033
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1082 -98 443145 4358400 75.00 I 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
17 -Jun 2010
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund