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CITY OF CARMEL, INDIANA VENDOR: T361464 Page 1 of 1
ONE CIVIC SQUARE APRIL MEIER CHECK AMOUNT: $77.00
CARMEL, INDIANA 46032 14242 DOVE DR
CARMEL IN 46033 CHECK NUMBER: 160978
CHECK DATE: 6/2512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1047 4358400 77.00 PARKS DEPARTMENT REFU
I
F,.
ACTIVITY REFUND RECEIPT
RECErVED
Receipt 132643
Payment Date: 06/16/2008 JUN 1 7 2008
Household 14965
Home Phone: (317)810 -9954
Work Phone: $Y:
APRIL MEIER Carmel Clay Parks Recreation
14242 DOVE DR 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 77.00
Enrollee Name: Tyler Meier Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 185316 -02 Pee Wee Golf Camp 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/23/2008 (Cancelled)
Primary Instructor: Plum Creek Golf
Class Location: Plum Creek Golf Club Class Dates: 07/15/2008 to 07/18/2008
Plum Creek Golf Cour 8:30A to 9:30A
12401 Lynnwood Blvd. Tu,W,Th,F
Carmel, IN 46033
(317)848 -7275 Scheduled Sessions: 4
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Pee Wee Golf Residen 7.00 1.00 0.00 0.00 7.00
Cancel Reason: out of town
G/L Code Description Account Number C st Cntr Description Account Number Amo
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 77.00 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 06/16/08 15:04:36 by CNA FEES CHANGED ON CANCELLED ITEMS 84.00
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
TOTAL AMOUNT AMOUNT REFUNDED 77.00
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 132643
Payment Date: 06/16/08
Household 14965
Refund of 77.00 Made By JOURNAL -RF With Reference out of town
All refunds are subject to State Board of Accounts claim procedure and may L4- eks to process. A check will be
oissued. No cash or credit card refunds.
No /0 r
A thorized Signature Date Au nat D to
�l� X35 ��loo
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.
Meier, April Terms
14242 Dove Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/16/08 132643 Refund 77.00
Total 77.00
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.
Meier, April Allowed 20
14242 Dove Dr
Carmel, IN 46033
In Sum of
77.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 132643 4358400 77.00 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
`4- V PJI( 0/W aw Sri,
Signature
77.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund