HomeMy WebLinkAbout166875 12/10/2008 CITY OF CARMEL INDIANA VENDOR: T362235 Page 1 of 1
ONE CIVIC SQUARE ANGELA SAMS CHECK AMOUNT: $48.00
`4 CARMEL, INDIANA 46032 1305 W MAIN ST
s•''t'•' CARMEL IN 46032 CHECK NUMBER: 166875
CHECK DATE: 12/10/2008
DEPARTMENT A PO NUMBER -I NVOICE NUMB AMOUNT DESCRIP
1046 4358400 206595 48.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 206595
Payment Date: 12/04/2008 REC FIVED
Household 999
Home Phone: (317)843 -0420 DEC 0 5 2008
Work Phone: (317)843 -1334
ANGELA SAMS Monon Center
1305 W. MAIN ST. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 48.00
Enrollee Name: Tess Sams Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486064 -01 Karate 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 11/13/2008 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 11/24/2008 to 12/17/2008
Orchard Park Element 2:45P to 3:45P
10404 Orchard Park Drive South M,W
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 8
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 48.00 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 12/04/08 12:50:41 by JEH FEES CHANGED ON CANCELLED ITEMS 48.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 48.00-
TOTAL AMOUNT REFUNDED 48.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 48.00 Made By REFUND FINAN With Reference
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.
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ACTIVITY REFUND RECEIPT
Receipt 206595
Payment Date: 12/04/2008
Household 999
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Autn ig ature
Date Authorized Signature Date
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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.
Sams, Angela Terms
1305 W. Main St. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1214108 206595 Refund 48700
Total 48.00
I 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
L—
Voucher No. Warrant No.
Sams, Angela Allowed 20
1305 W. Main St.
Carmel, IN 46032
In Sum of
48.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
Po# or Board Members
Dept
INVOICE NO. ACCT #/TITLE AMOUNT
1046 206595 4358400 48.00 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
8 -Dec 2008
&I IJ/ M/ LA
Signature
48.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund