HomeMy WebLinkAbout187378 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364315 Page 1 of 1
ONE CIVIC SQUARE ANGIE MELROSE CHECK AMOUNT: $384.00
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CARMEL, INDIANA 46032 11124 ST ANDREWS LANE
CARMEL IN 46032 CHECK NUMBER: 187378
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 450110 384.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 450110
Payment Date: 06/22/10
Household 5480
Monon Community Center Angie Melrose Hm Ph: (317)466 -8649
Carmel IN 46032 11124 St. Andrews Lane Wk Ph: (317)590 -8655
carmel IN 46032 Cell Ph:
a ace3n4 @aol.com
Pnone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 96.00
Enrollee Name: Sydney Melrose Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -04 Vacation Station 64.00 0.00 64.00 0.00 0.00
Enrollment Date: 04/30/2010 (Cancelled)
Class Location: Creekside Middle Sch Class Dates: 06/21/2010 to 06/25/2010
Creekside Middle Sch 7:OOA to 6:OOP
3525 W. 126th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
cancel Reason: camp did not meet expectations program not stated as advertised /communicated
CANCELLATION Refund Of 96.00
Enrollee Name: Simon Melrose Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -04 Vacation Station 64.00 0.00 64.00 0.00 0.00
Enrollment Date: 04/30/2010 (Cancelled)
Class Location: Creekside Middle Sch Class Dates: 06/21/2010 to 06/25/2010
Creekside Middle Sch 7:OOA to 6:OOP
3525 W. 126th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: camp did not meet expectations program not stated as advertised /communicated
CANCELLATION Refund Of 96.00
Enrollee Name: Lexi Lewis Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -04 Vacation Station 64.00 0.00 64.00, 0.00 0.00
Enrollment Date: 04/30/2010 (Cancelled)
Class Location: Creekside Middle Sch Class Dates: 06/21/2010 to 06/25/2010
Creekside Middle Sch 7:OOA to 6:OOP
3525 W. 126th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: camp did not meet expectations program not stated as advertised /communicated
CANCELLATION Refund Of 96.00
Enrollee Name: Ella Lewis Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -04 Vacation Station 64.00 0.00 64.00 0.00 0.00
Enrollment Date: 04/3012010 (Cancelled)
Page 1
ACTIVITY REFUND RECEIPT
Receipt 450110
Payment Date: 06/22/2010
Household 5480
Class Location: Creekside Middle Sch Class Dates: 06/21/2010 to 06/25/2010
Creekside Middle Sch 7:OOA to 6:OOP
3525 W. 126th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: camp did not meet expectations program not stated as advertised /communicated
G/L Code Descrip Account Number Cst Cntr Description Ac count Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 384.00 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 06/22/10 13:48:45 by BJJ FEES CHANGED ON CANCELLED ITEMS 384.00
NET AMOUNT FROM CANCELLED ITEMS 38400
TOTAL AMOUNT REFUNDED 384.00 IV
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 384.00 Made By REFUND FINAN With Reference
All refunds re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N cash or credit card refunds.
A th zed Signature Date Authorized Signature Date
t�
JUN 2 3 2010
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Page 2
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.
Melrose, Angie Terms
11124 St. Andrews Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6122110 450110 Refund 384.00
Total 384.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Melrose, Angie Allowed 20
11124 St. Andrews Lane
Carmel, IN 46032
In Sum of
384.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or Board Members
Dept ept INVOICE NO. ACCT #/TITLE AMOUNT
1082 -1 450110 4358400 384.00 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
T
Signature
384.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund