HomeMy WebLinkAbout158304 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: T361162 Page 1 of 1
ONE CIVIC SQUARE ROBIN BRINKMAN
CARMEL, INDIANA 46032 2959 BROOKS BEND
CHECK AMOUNT: $11.04
CARMEL IN 46032 CHECK NUMBER: 158304
CHECK DATE: 4/15/2008
DE PARTMENT ACCOUNT PO NUMBER I N UMBER AMOUNT DESCRIPTION
1047 4358400 11297 11.00 REFUNDS AWARDS INDE
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n
F.
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ACTIVITY REFUND RECEIPT 7 MAR �VED
2008
Receipt 101297
Payment Date: 03/18/2008
Household 8214 l
Home Phone: (317)846 -4840
Work Phone:
ROBIN BRINKMAN Carmel Clay Parks Recreation
2959 BROOKS BEND 1235 Central Park Drive East
CARMEL, IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 11.00
Enrollee Name: WIII Brinkman Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 386235 -03 Wild Wednesday 0.00 0.00 0.0o 0.00 0.00
Enrollment Date: 02/04/2008 (Cancelled)
Primary instructor: CCPR Staff
Class Location: Program Room B Class Dates: 03/19/2008 to 03/19/2008
Monon Center 1 O:OOA to 11:00A
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: Low enrollment
G/L Code Description...._ Account Number Cst_Cntr Description Account Number, Amount
999999 Control Account (AP) Enter Control Accl CNTRL Control Account (AP) Enter Control Acct here 11.00 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 03/18/08 10:49:17 by BJC FEES CHANGED ON CANCELLED ITEMS 11.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES O.OD
NET AMOUNT FROM CANCELLED ITEMS 11.00
TOTAL AMOUNT REFUNDED 11.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type. Refund from Finance
Refund of 11.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT r
Receipt 101297
Payment Date: 03/18/08
Household 8214
All refunds are subject to State Board of Accounts claim procedure and may take 4- weeks to process. A check will be
issued. No cash or credit card refunds.
Auth�ri�ed Signature Date Authonze Sig tur D to
CC), YO
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.
Robin Brinkman Terms
2959 Brooks Bend Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3118108 11297 Refund 11.00
Total 11.00
I 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
Voucher No. Warrant No.
Robin Brinkman Allowed 20
2959 Brooks Bend
Carmel, IN 46032
I n Sum of
11.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1047 11297 4358400 11.00 i 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
31 -Mar 2008
ignatur
I 11.00 Business Se ices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund