HomeMy WebLinkAbout160864 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: T361457 Page 1 of 1
ONE CIVIC SQUARE YUKO FURUYA
CARMEL, INDIANA 46032 11899 TARRYNOT LANE CHECK AMOUNT: $65.00
CARMEL IN 46032 CHECK NUMBER: 160864
CHECK DATE: 6/25/2008
DEPARTMENT A CCOU NT PO NUMBER IN NUM AMOUNT DESCRIPTION
:047 4358400 65.00 PARKS DEPARTMENT REFU
r
1
r ACTIVITY REFUND RECEIPT
Receipt 132177
Payment Date:. 06/15/2008
Household 12335
Home Phone: (317)581 -1026
Work Phone:
YUKO FURUYA Carmel Clay Parks Recreation
11899 TARRYNOT LANE 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 65.00
Enrollee Name: Mayako Furuya Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186229 -02 Petite Dancers 4 -5 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/21/2008 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location: Dance Studio Class Dates: 06/16/2008 to 08/04/2008
Monon Center 10:45A to 11:30A
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 65.00 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 06/15/08 21:39:12 by CNA FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT REFUNDED 65':00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 65.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 132177
Payment Date: 06/15/08
Household 12335
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 s to process. A check will be
issued. No cash or credit card refunds.
Aut orized Signature Date Authorized Signat re Date
300 X3 �t �o
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.
Furuya, Yuko Terms
11899 Tarrynot Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15/08 132177 Refund 65.00
Total 65.00
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.
Furuya, Yuko Allowed 20
11899 Tarrynot Lane
Carmel, IN 46032
In Sum of
65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 132177 4358400 65.00 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
65.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund