HomeMy WebLinkAbout187245 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364301 Page 1 of 1
ONE CIVIC SQUARE LEAH BURDETTE
CARMEL, INDIANA 46032 5869 IVY KNOLL CT CHECK AMOUNT: $112.50
INDIANAPOLIS IN 46250 CHECK NUMBER: 187245
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 449493 112.50 REFUNDS AWARDS INDE
i
r
ACTIVITY REFUND RECEIPT
Receipt 449493
Payment Date: 06/21/10
Household 33428
Monon Community Center Leah Burdette Hm Ph: (317)523 -8571
Carmel IN 46032 10 0 5869 Ivy Knoll Ct
JUN 3 Apt B Cell Ph:
Indianapolis IN 46250
Phone: (317)848 -7275 leahburdette @yahoo.com
Fed Tax ID #35- 6000972 BY
knrollment Details
CANCELLATION Refund Of 912.50
Enrollee Name: Isabella Cox Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number. 105003 -02 Lil' Kicker Bunnie 12 -50 0.00 0.00 12.50 0.00
Enrollment Date: 0610212010 (Cancelled)
Primary Instructor. Off the Wall Sports
Class Location: Inlow Park Field Chris Dates: 06 /05/2010 to 08/14/2010
Inlow Park 10:30A to 11:20A
6310 E. 131 st Street Sa
Carmel, IN 46032 Scheduled Sessions: 10
(317)848 -7275
Skip Days 07/03/2010
Cancel Reason: prorated request
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Accomt (AP) Enter Control Acct here 112.50 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 fisted above after the checks have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/21/10 11:12:25 by CNA FEES CHANGED ON CANCELLED ITEMS 125.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 12.50
NET AMOUNT FROM CANCELLED ITEMS 112,50-
TOTAL AMOUNT REFUNDED 112.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 112.50 Made By REFUND FINAN With Reference prorated request
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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Auth zed Signature Date Autdrized Signature Date
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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.
Burdette, Leah Terms
5869 Ivy Knoll Ct, Apt B Date Due
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
6121110 449493 Refund 112.50
Total 112.50
I 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.
Burdette, Leah Allowed 20
5869 Ivy Knoll Ct, Apt B
Indianapolis, IN 46250
In Sum of
112.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO ACCT #(TITLE AMOUNT Board Members
Dept
1096 -32 449493 4358400 112.50 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
1 -Jul 2010
Signature
112.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund