HomeMy WebLinkAbout161865 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361619 Page 1 of 1
ONE CIVIC SQUARE SANDI HOLUBIK
1 CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 8864 N 500 W
ti�Goe` THORNTOWN IN 46071 CHECK NUMBER: 161865
CHECK DATE: 7/23/2008
DEPARTMENT AC COUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
r,1047 4358400 75.00 PARKS DEPARTMENT REFU
r ACTIVITY REFUND RECEIPT
y't f
Receipt 144238
Payment Date: 07/03/2008
Household 18376 JUL 0 8 2008 I
Home Phone: (765)436 -2573
We:Js Phone: (317)580 -3574
SANDI HOLUBIK Carmel Clay Parks Recreation
8864 N 500 W 1235 Central Park Drive East
THORNTOWN IN 46071 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 75.00
Enrollee Name: Sandi Holubik Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 189202 -01 Chicago Navy Pier 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0511912008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Parking Lot East Class Dates: 06/28/2008 to 06128/2008
Monon Center 6:OOA to 12:OOA
Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: IOW enrollment
G/L Code Descri Account Number Cst Cntr Descripti Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 75.00 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 07/03/08 09.56:55 by SAC FEES CHANGED ON CANCELLED ITEMS 75.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET;AMOUNT' FROM 'CANCELLED ITEMS 75.00-
TOTAL AMOUNT REFUNDED.'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 75.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 144238
Payment Date: 07103/08
f Household 18376
l
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.
1 6
Authorized Signature 6ate Authorized Signature Date
3�o 00
JUL 0 8 2008
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.
Holubik, Sandi Terms
8864 N 500 W Date Due
Thorntown, IN 46071
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/3108 144238 Refund 75.00
Total 75.00
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.
Holubik, Sandi Allowed 20
8864 N 500 W
Thorntown, IN 46071
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept
1047 144238 4358400 75.00 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 -Jul 2008
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund