HomeMy WebLinkAbout187498 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364329 Page 1 of 1
1 ONE CIVIC SQUARE LISA XU CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 8354 GLENWILLOW LANE, APT 101
t ?rop `a. INDIANAPOLIS IN 46278 CHECK NUMBER: 187498
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 449485 80.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 449485
Payment Date: 06/21/10
Household 33682
Mcnon Community Center '�U 2010 Lisa Xu Hm Ph: (317)697 -5263
Carmel IN 46032 8354 Glenwillow Lane apt 101
Indianapolis IN 46278 Cell Ph:
Phone: (317)848 -7275 BY: lisax09 @gmaii.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 80.00
Enrollee Name: Anji Xu Fees Tax Discount Prev Paid Cur Paid Am_ ount Due
Activity Number: 476001 -04 Vacation Station 80.00 0.00 80.00 0.00 0.00
Enrollment Date: 06/16/2010 (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: schedule conflict
G/L Code De_s_cription Account Number Cst Cnt_r Descri ption Accou Num Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 80.00 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 10:50:14 by BJJ FEES CHANGED ON CANCELLED ITEMS 80.00
NET AMOUNT FROM CANCELLEWITEMS 80 €00
TOTAL AMOUNTREFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 80.00 Made By REFUND FINAN With Reference
All refun are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. cash or credit card refunds.
40
At ori Signature Da e Authorized Signature Date
9�qqL
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.
Xu, Lisa Terms
8354 Glenwillow Lane, Apt. 101 Date Due
Indianapolis, IN 46278
Invoice Invoice
(or note attached invoice(s) or bill(s))
Description
Date Numb Amount
6121!10 449485 Refund 80.00
Total 80.00
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
f
Voucher No, Warrant No.
Xu, Lisa Allowed 20
8354 Glenwillow Lane, Apt. 101
Indianapolis, IN 46278
In Sum of$
80.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 449485 4358400 80.00 l 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
80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund