HomeMy WebLinkAbout164379 09/30/2008 a CITY OF CARMEL, INDIANA VENDOR: T361912 Page 1 of 1
t ONE CIVIC SQUARE MICHAEL PETROCELLI
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zt•�1 CARMEL, INDIANA 46032 2033E 109TH ST CHECK AMOUNT: $65.00
INDIANAPOLIS IN 46280 CHECK NUMBER: 164379
CHECK DATE: 9/30/2008
�'UEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1047 4358400 65.00 REFUNDS AWARDS INDE
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r r ACTIVITY REFUND RECEIPT
Receipt 189066
Payment Date: 09/18/2008
.Household 7798 TT 7 T,— Ti
Horne Phone: (317)571 -1468
Work Phone: (317)815 -5809 S E P 2 ,l 2008
BY:
MICHAEL PETROCELLI Monon Center
2033 E. 109TH STREET Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 65.00
Enrollee Name: Max Petrocelli Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 183003 -09 Guppy 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/14/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indr Leisure Pool 3 Class Dates: 07/21/2008 to 07/31/2008
Monon Center 9:15A to 9:45A
M,Tu,W,Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: Family had to got out of town, and needs refund.
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 09/18/08 10:05:13 by ALC 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„ 65004-
`TOTACAMOUNT REF.UNDED... ....r. 65:00.;
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 65.00 Made By REFUND FINAN With Reference
Page 1
I
a ACTIVITY REFUND RECEIPT
Receipt 189066
Payment Date: 09/18/08
Household 7798
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 cre it cqro refunds. 2
Cm k
Authorized Sign 11tury Date Authorized Signature Date
L4 3 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.
Petrocelli, Michael Terms
2033 E 109th Street Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9118/08 189066 Refund 65.00
i
I
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.
Petrocelli, Michael Allowed 20
2033 E 109th Street
Indianapolis, IN 46280
In Sum of
65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 189066 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
24 -Sep 2008
Signature
65.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund