HomeMy WebLinkAbout164148 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361894 Page 1 of 1
10� ONE CIVIC SQUARE A R CM EN B8 RGLUND CHECK AMOUNT: $8.00
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 164148
CHECK DATE: 9/30/2008
DEPART ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 8.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 188995
Payment Date: 09/17/2008
Household 6346
Home Phone: (317)876 -7321
Work Phone: (317)513 -0004
A CARMEN BERGLUND Monon Center
9650 CYPRESS WAY Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 8.00
Enrollee Name: Maya Berglund Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286229 -03 Petite Dancers 57.00 0.00 57.00 0.00 0.00
Enrollment Date: 08118/2008 (Enrolled)
Primary Instructor. Dance Class Studio
Class Location. Dance Studio Class Dates: 08/26/2008 to 10/14/2008
Monon Center 11:30A to 12:15P
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Fee Details: Fee Dg,scriptio Amount Count D iscount Sales Tax Total Fee_
Petite Dancers 57.00 1.00 0.00 0.00 57.00
G/L Code Description Accou N umber_ Cst Cntr Descri ption________ A ccou n t Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 8.00 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 09/17/08 16:13.30 by CNA FEES ADJUSTED ON CHANGED ITEMS 8.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NET AMOUNT FROM CHANGED ITEMS 8:00-
S P 2 9 2008
TOTAL AMOUNT REFUNDED 8.00
BY:
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 8.00 Made By REFUND FINAN With Reference no instructor
Page 1
ACTIVITY REFUND RECEIPT
Receipt 188995
Payment Date: 09/17/08
Household 6346
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.
q t l7 107 T P�, �,r z
Au or� nature Date Authorized Signature Date
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.
Berglund, Carmen Terms
9650 Cypress Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9f17108 188995 Refund 8.00
Total 8.00
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
1 20
Clerk- Treasurer
s
Voucher No. Warrant No.
Berglund, Carmen Allowed 20
9650 Cypress Way
Carmel, IN 46032
In Sum of
8.00.
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#frlTLE AMOUNT Board Members
Dept
1047 188995 4358400 8.00 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
29 -Sep 2008
Signature
8.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund