HomeMy WebLinkAbout157139 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: T360912 Page 1 of 1
ONE CIVIC SQUARE HEATHER LARGURA
CARMEL, INDIANA 46032 13150 BROOKSHIRE PARKWAY CHECK AMOUNT: $210.00
N �o CARMEL IN 46033 CHECK NUMBER: 157139
CHECK DATE: 315/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 210.00 PARKS DEPARTMENT REFU
w, ACTIVITY REFUND RECEIPT
t
Receipt 88353
CEi
Payment Date: 01/29/2008
Household 3421 FEB 1 9 2008
Home Phone: (317)816 -0181
Work Phone. (317)931 -4302 BY
i
HEATHER LARGURA Carmel Clay Parks Recreation
13150 BROOKSHIRE PKWY. 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 98.00
Enrollee Name: Heather Largura Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 387330 -01 Intro to Precious Me 7.00 0.00 7.00 0.00 0.00
Enrollment Date. 01/11/2008 (Cancelled)
Primary Instructor: A Time 2 Bead
Class Location: Program Room A Class Dates: 02/06/2008 to 02/06/2008
Monon Center 6:OOP to 10:OOP
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Fee Details: Fee Descri Amount Count Discount Sales Tax Total Fee
In Prcus Mtl Cly RES 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Schedule Conflict
CANCELLATION Refund Of 112.00
Enrollee Name: Abigale Wheat Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 387330 -01 Intro to Precious Me 7.00 0.00 7.00 0.00 0.00
Enrollment Date. 01/1112008 (Cancelled)
Primary Instructor: A Time 2 Bead
Class location: Program Room A Class Dates: 02/06/2008 to 02/06/2008
Monon Center 6:OOP to 10:OOP
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Fee Details: Fee D escrip tion Amount Count Disco Sales Tax Total Fee
In Prcus Mll Cly RES 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Schedule Conflict
Page 9 1
ACTIVITY REFUND RECEIPT
Receipt 88353
Payment Date: 01/29/08
Household 3421
GIL Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 210.00 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 oh 01(29108 14:45:51 by SAC FEES CHANGED ON CANCELLED ITEMS 224.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
NET AMOUNT FROM CANCELLED ITEMS 270:00
TOTAL AMOUNT;REFUNDED 210.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type. Refund from Finance
Refund of 210.00 Made By JOURNAL -RF With Reference Schedule Conflict
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.
e, Z-/os a
Authorized Signature Date Adithorized Signat a Date
Page 2
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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.
Heather Largura Terms
13150 Brookshire Pkwy. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/29/08 1 $8353 Refund 210.00
Total 210.00
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
Voucher No. Warrant No.
Heather Largura Allowed 20
13150 Brookshire Pkwy.
Carmel, IN 46033
In Sum of
210.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 88353 4358400 210.00 I 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
28 -Feb 2008
Signature
210.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund