HomeMy WebLinkAbout161211 07/08/2008 4. CITY OF CARMEL, INDIANA VENDOR: T356790 Page 1 of 1
ONE CIVIC SQUARE LISA ERDOSY CHECK AMOUNT: $83.00
CARMEL, INDIANA 46032 10484 ALDERWOOD CR
FISHERS IN 46038 CHECK NUMBER: 161211
CHECK DATE: 7/8/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 137281 83.00 REFUNDS AWARDS INDE
r
f w
ACTIVITY REFUND RECEIPT
Receipt 137281
Payment Date: 06/23/2008
Household 2210
Home Phone: (317)621 -8026
Work Phone:
LISA ERDOSY Carmel Clay Parks Recreation
10484 ALDERWOOD CT 1235 Central Park Drive East
FISHERS IN 46037 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972 JUN 2 4 2008
Bar.
Enrollment Details
CANCELLATION Refund Of 83.00
Enrollee Name: Matthew Erdosy Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 185005 -03 Lil' Kickers Hopper 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04108/2008 (Cancelled)
Primary Instructor: Off the Wall Sports
Class Location: Inlow Park Field Class Dates: 06/04/2008 to 08/06/2008
Inlow Park 9:30A to 10:20A
6310 E. 131 st Street W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Fee Details: Fee Descri Amount Count Discount Sale Tax Total Fee
Jack Rabbits 7.00 1.00 0.00 0.00 7.00
Cancel Reason: broken foot
GIL Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 83.00 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 06/23/08 12:21:24 by CNA FEES CHANGED ON CANCELLED ITEMS 90.06
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 7.00
NET AMOUNT'.FROM CANCELLED ITEMS 83.00.
TOTAL AMOUNT REFUNDED 83.00
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 137281
Payment Date: 06/23/08
Household 2210
Refund of 83.00 Made By JOURNAL -RF With Reference broken foot
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 Signature a
r C nVFD
JUN 2 4 2008
Page #2
ACCOUNTS PAYABLE VOUCHER
y 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.
Erdosy, Lisa Terms
10484 Alderwood Ct Date Due
Fishers, IN 46037
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6123108 137281 Refund 83.00
Total 83.00
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. 1. W'8rrant No.
Erdosy, Lisa Allowed 20
10484 Alderwood Ct
Fishers, IN 46037
In Sum of
83.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 137281 4358400 83.00 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
27 -Jun 2008
Signature
83.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i
ENTERED