HomeMy WebLinkAbout156512 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 360866 Page 1 of 1
1 ONE CIVIC SQUARE VICKY BROOME CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 13684 STONEHAVEN DRIVE
CARMEL IN 46033 CHECK NUMBER: 156512
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 30.00 PARKS DEPARTMENT REFU
c'r
i ACTIVITY REFUND RECEIPT
CEIVED
Receipt 89540
Payment Date: 02/01/2008 FEB 0 3 2008
Household 9814
Home Phone: (317)846 -6620
Work Phone: BY:
VICKY BROOME Monon Center
13684 STONEHAVEN DRIVE Carmel IN 46032
CARMEL, IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 30.00
Enrollee Name: Kevin Broome Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 385401 -01 Intramural Basketbal 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01109/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium B Class Dates: 01/21/2008 to 03/31/2008
Monon Center 4:OOP to 6:OOP
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 11
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 30.00 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 CREDIT HOUSEHOLD. BALANCE 40.00
Processed on 02/01/08 10:22:09 by TCP FEES CHANGED ON CANCELLED ITEMS 30.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED. ON CANCELLED FEES 0.00
NET-AMOUNTFROM,CANCELL"ED:JTEMS 30:00
TOTAL`AMOUNT °REFUNDED;.:-
30:00.
NEW NET CREDIT HOUSEHOLD BALANCE 40.00
Refund Type: Refund from Finance
Refund of 30.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 89540
Payment Date: 02/01/08
Household 9814
a 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.
Authorized Signature Date Authorized Signatur DA
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.
Vicky Broome Terms
13684 Stonehaven Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/1/08 89540 Refund 30.00
Total 30.00
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
Voucher No. Warrant No.
Vicky Broome Allowed 20
13684 Stonehaven Drive
Carmel, IN 46033
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 89540 4358400 30.00 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
5 -Feb 2008
Signature
30.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund