HomeMy WebLinkAbout187501 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364330 Page 1 of 1
t ONE CIVIC SQUARE MELLISA ZUHLKE CHECK AMOUNT: $112.50
CARMEL, INDIANA 46032 11099 BROADWAY ST
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INDIANAPOLIS IN 46280 CHECK NUMBER: 187501
CHECK DATE: 7/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 449501 112.50 REFUNDS AWARDS INDE
M%% a IV I I I I%V-V LP ve, /%co..caa- I
Receipt 449501
Payment Date: 06/21/10
Household 3294
Monon Community Center Mellisa Zuhlke Hm Ph: (317)566 -8309
Car IN 46032 11099 Broadway St. Wk Ph: (317)
Indianapolis IN 46280 Cell Ph: (317)607 -5420
MZuhlke@cGs.k12.in.us
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 112.50
Enrollee Name: Owen Scott Fees+ Tax Discou Prev Paid Cur Paid Amount Due
Activity Number. 105006 -02 LII' Kicker -Hopper 12.50 0.00 0.00 12.50 0.00
Enrollment Date, 05113/2010 (Cancelled)
Primary Instructor. Off the Wall Sports
Class Location: West Park Field Class Dates: 06/01/2010 to 08/03/2010
West Park I I:30A to 12:20P
2700 W. 116th St. Tu
Carmel, IN 46032 Scheduled Sessions: 10
(317)848 -7275
Cancel Reason: prorated request
GIL Code Description Aocamt Number Cst Cotr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 112.50 OR
The REVENUE account was DEBITED and the CONTROL account was CREDITED an the day of the rehnid_
Finance will have to DEBIT the CONTROL acoo mt tar the anxxmts fisted above artter the dvdts have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/21/10 1123:39 by CNA FEES CHANCED ON CANCELLED ITEMS 125.00
SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 12.50
NET AMOUNT FROM CANCELLED ITEMS 112.54-
TOTAL AMOUNT REFUNDED 112.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 112.50 Made By REFUND FiNAN Mirth 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.
Auttiorized Signature Date Sigreataue Date
JUN 23 2010
ro rOle-Ole r f BY:
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.
Zuhlke, Mellisa Terms
11099 Broadway St. Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/10 449501 Refund 112.50
Total 112.50
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.
Zuhlke, Mellisa Allowed 20
11099 Broadway St.
Indianapolis, IN 46280
In Sum of
112.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1096 -32 449501 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