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HomeMy WebLinkAbout187378 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364315 Page 1 of 1 ONE CIVIC SQUARE ANGIE MELROSE CHECK AMOUNT: $384.00 O 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 Leo 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