HomeMy WebLinkAbout165113 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362033 Page 1 of 1
ONE CIVIC SQUARE JAY AHLBRAND
CARMEL, INDIANA 46032 13172 TURQUOISE CIRCLE CHECK AMOUNT: $20.00
'ti, oh o` CARMEL IN 46033 CHECK NUMBER: 165113
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
-047 4358400 192251 20.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 192251
ED F ';Y
Payment Date: 10/06/2008 OCT 1 4 2008
Household 17259
Home Phone: (317)580 -0105
Wdik Phone: $Y;
JAY AHLB RAND Monon Center
13172 TURQUOISE CIR Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 20.00
Enrollee Name: Gerald Ahlbrand Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286202 -02 Phys Kids 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/09/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium B Class Dates: 10/07/2008 to 10/28/2008
Monon Center 11:30A to 12:30P
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: IOW enrollment
G/L Code Description-_ Acco Number C Cntr Descri Acc Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 20.00 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 10/06/08 13:05:41 by CNA FEES CHANGED ON CANCELLED ITEMS 20.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 20.00
TOTAL AMOUNT REFUNDED 20.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 Made By REFUND FINAN With Reference low enrollment
Page 1
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ACTIVITY REFUND RECEIPT
Receipt 192251
Payment Date: 10/06/2008
Household 17259
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.
Q3 l &T 10
Aut orized Signature Date Authorized Signature Date
`1.350 3C)a, �5 �0� +5�
Page #2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
E
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.
Ahlbrand, Jay Terms
13172 Turquoise Cir Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/08 192251 Refund 20.00
Total 20.00
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.
Ahlbrand, Jay Allowed 20
13172 Turquoise Cir
Carmel, IN 46033
In Sum of
20.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 192251 4358400- 20.00 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
15 -Oct 2008
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund