HomeMy WebLinkAbout157865 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: T361070 Page 1 of 1
ONE CIVIC SQUARE ELIZABETH BREWER CHECK AMOUNT: $186.20
CARMEL, INDIANA 46032 10345 ORCHARD PARK DR S
INDPLS IN 46280 CHECK NUMBER: 157865
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1046 4358400 98428 186.20 REFUNDS AWARDS INDE
Z
ACTIVITY REFUND RECEIPT
Receipt 98428 7 M AR Payment Date: 03/05/2008 Howsehold 2852 2 1 2008
Home Phone: (317)848 -9819
Work Phone: (317)275 -7200
BY:
ELIZABETH BREWER Carmel Clay Parks Recreation
10345 ORCHARD PARK DR. SOUTH 1235 Central Park Drive East
INDIANAPOLIS, IN 46280 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 186.20
Enrollee Name: Javan Christenberry Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number. 406004 -60 OP Monthly Weekly 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/08/2008 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 03/03/2008 to 04/04/2008
Orchard Park Element 7:OOA to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 25
CANCELLATION
Enrollee Name: Javan Christenberry Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 406004 -71 OP Monthly Weekly 0.00 0.00 0.00 o.00 0.00
Enrollment Date: 01108/2008 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 04/14/2008 to 05/02/2008
Orchard Park Element 7:OOA to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 15
CANCELLATION
Enrollee Name: Javan Christenberry Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 406004 -78 OP Monthly Weekly 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/08/2008 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 05/05/2008 to 05/30/2008
Orchard Park Element 7:OOA to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 20
Page t
ACTIVITY REFUND RECEIPT
Receipt 98428
Payment Date: 03/05/08
Household 2852
i
G/L Code De Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 186.20 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 508.80
Processed on 03/05/08 10:36:41 by JEH FEES CHANGED ON CANCELLED ITEMS 695.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 695.00
HH BALANCE APPLIED TO THIS RECEIPT 50 0
TOTAL AMOUNT REFUNDED 186.20
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 186.20 Made By JOURNAL -RF With Reference
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.
horized Signature Date Authorized Signature Date
00 opt of cc.s
3S�
Page 2
ACCOUNTS PAYABLEVOUCHER
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.
I Payee
Purchase Order No.
Elizabeth Brewer Terms
10345 Orchard Park Dr. S. Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/08 98428 Refund 186.20
Total 186.20
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.
Elizabeth Brewer Allowed 20
10345 Orchard Park Dr. S.
Indianapolis, IN 46280
In Sum of
1.86.20
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 98428 4358400 186.20 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
24 -Mar 2008
XS' na re
186.20 Busines ervi es Manager
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund