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160837 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 361454 Page 1 of 1 0 4 ONE CIVIC SQUARE CHRISTOPHER DUFFY CARMEL. INDIANA 46032 13460 SPICEBUSH COURT CHECK AMOUNT: $28.00 CARMEL IN 46033 CHECK NUMBER: 760837 CHECK DATE: 6/25/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION ,1047 4358400 28.00 PARKS DEPARTMENT RERU ACTIVITY REFUND RECEIPT Receipt 129624 F JU IVED) Payment Date: 06/12/2008 Household 17120 Hams Phone: (317)564 -4125 3 200 8 Work Phone: (317)594 -2404 I CHRISTOPHER DUFFY Carmel Clay Parks Recreation 13460 SPICEBUSH COURT 1235 Central Park Drive East CARMEL IN 46033 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 28.00 Enrollee Name: Colleen Duffy Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 186304 -01 Microwave Cooking 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/04/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: Program Room C Class Dates: 06/09/2008 to 06/30/2008 Monon Center 11:OOA to 12:OOP M Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Fee Details: Fee D escri ption Amount Count Dis_c_o_u_nt, Sales Tax Total Fee Microwave Cooking Re 7.00 1.00 0.00 0.00 7.00 G1L Code Descrip Acc ount Number Cst Cntr Descri Accoun Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 28.00 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 06/12/08 12:47:27 by BJC FEES CHANGED ON CANCELLED ITEMS 35.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00 NET AMOUNT FROM CANCELLED ITEMS 28.00 TOTAL AMOUNT REFUNDED 28.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 28.00 Made By JOURNAL -RF With Reference schedule conflict Page 1 ACTIVITY REFUND RECEIPT Receipt 129624 Payment Date: 06/12/08 Household 17120 All refunds are subject to State Board of Accounts claim procedure and take 4- ee o process. A check will be issued. No cash or credit card refunds. l Authorized Signature Date Aut O r d natur Ate L4 JUN 1 3 2008 BY: Page 1 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. Duffy, Christopher Terms 13460 Spicebush Court Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6112108 129624 lRefund 28.00 Total 28.00 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. Duffy, Christopher Allowed 20 13460 Spicebush Court Carmel, IN 46033 In Sum of 28.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members Dept 1047 129624 4358400 28.00 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 18 -Jun 2008 Signature 28.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund