HomeMy WebLinkAbout161836 07/23/2008 ,a CITY OF CARMEL, INDIANA VENDOR: 357081 Page 1 of 1
ONE CIVIC SQUARE DANA GOOT CHECK AMOUNT: $84.00
0 CARMEL, INDIANA 46032 13692 MAGIC STALLION DR
'tiy�yo� i� CARMEL IN 46032 CHECK NUMBER: 161836
CHECK DATE: 7/23/2008
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 84.00 PARKS DEPARTMENT REFU
r.
ACTIVITY REFUND RECEIPT
Receipt 155422
Payment Date: 07/17/2008 JUL 2 1 2008
Household 10354
Home Phone: (317)566 -8991
Work Phone: T
DANA GOOT Monon Center
13692 MAGIC STALLION DRIVE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 84.00
Enrollee Name: Adam Goot Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 185309 -04 Fencing for Beginner 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/11/2008 (Cancelled)
Primary Instructor: Alexander Melnikov
Class Location: Program Room B Class Dates: 07/21/2008 to 08/25/2008
Monon Center 7:OOP to 8:OOP
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 6
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Descrip Ac count Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 84.00 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 07/17/08 13:30:51 by BJC FEES CHANGED ON CANCELLED ITEMS 84.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 84.00
TOTAL AMOUNT REFUNDED 84.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 84.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 155422
Payment Date: 07/17/08
Household 10354
All refunds are subjectlp State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash o ed' car efunds. 1 ky
Au oriz ignature Date Authorized Signature Date
3 aD 0
�S
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.
Goot, Dana Terms
13692 Magic Stallion Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/17/08 155422 Refund 84.00
Total 84.00
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
c.
Voucher No. Warrant No.
Goot, Dana Allowed 20
13692 Magic Stallion Drive
Carmel, IN 46032
In Sum of
84.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 155422 4358400 84.00 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
21 -Jul 2008
J2 A&PVYAZA.�
Signature
84.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund