HomeMy WebLinkAbout187290 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364305 Page 1 of 1
ONE CIVIC SQUARE JOHN FISHER CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 14045 ADIOS PASS
CARMEL IN 46032 CHECK NUMBER: 187290
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 449716 150.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 449716
Payment Date:. 06/21/10
Household 6992
Monon Community Center John Fisher Hm Ph: (317)848 -8815
Carmel IN 46032 14045 Adios Pass Wk Ph: (317)710 -3410
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275 pamelafisherl998@grnail.com
_Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 150.00
Enrollee Name: Scott Fisher Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 106480 -01 Offensive Skiffs Cli 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0 4/0 312 01 0 (Cancelled)
Primary Instructor: DeFuscio ,lay
Class Location: Gymnasium C Class Dates: 07/19/2010 to 07/22/2010
Monon Community Cntr 9:OOA to 12:OOP
M,Tu,W,Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: advanced request
G/L Code Desc ription Account Number Cst C ntr Descr Acc Num ber Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 150.00 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 06/21/10 17:12.39 by LVA FEES CHANGED ON CANCELLED ITEMS 150.00
NET AMOUNT FROM CANCELLED ITEMS 150.00-
TOTAL AMOUNT REFUNDED 150.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 150.00 Made By REFUND FINAN With Reference advanced request
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
pAtho rizedS cash or credit card refunds.
i ture D ate Authorize Signature Date
`J JINN 2 3 2010
Bye
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.
Fisher, John Terms
14045 Adios Pass Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6121110 449716 Refund 150.00
Total 150.00
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.
Fisher, John Allowed 20
14045 Adios Pass
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 449716 4358400 150.00 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
1 -Jul 2010
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund