HomeMy WebLinkAbout160957 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: T361461 Page 1 of 1
0 i ONE CIVIC SQUARE ANGELA LINEBACK
CARMEL, INDIANA 46032 3491 INVERNESS BLVD CHECK AMOUNT: $40.00
CARMEL IN 46032 CHECK NUMBER: 160957
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 40.00 PARKS DEPARTMENT REFU
t ACTIVITY REFUND RECEIPT
Receipt 130461
Payr,:, Date: 06/13/2008
Household 121
Home Phone: (317)876 -9046
Work Phone: (317)
ANGELA LINEBACK Monon Center
3491 INVERNESS BLVD. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Paul Lineback Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 189002 01 Family Campout 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/21/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: West Park Shelter Class Dates: 06/13/2008 to 06/14/2008
West Park 4:30P to 9:OOA
2700 W. 116th St. F,Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 2
Cancel Reason: Weather
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 40.00 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 CREDIT HOUSEHOLD BALANCE 5.00
Processed on 06/13/08 13:20:42 by SAC FEES CHANGED ON CANCELLED ITEMS 35.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT`FROM'CANCELLEDIITEMS: 35 :W
HH BALANCE APPLIED TO THIS RECEIPT 5.00
TOTAL`''AMOUNT�REFUNDED. 40:001;
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By JOURNAL -RF With Reference weather
Page 1
ACTIVITY REFUND RECEIPT
Receipt 130461
Payment Date: 06/13/08
Household 121
All refunds are subject to State Board of Accounts claim procedure and may take 4- weeks to process. A check will be
issued. No cash or credit card refunds.
V
Authorized Signature Date Au oriz� Signature D
�7 375 30o
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
t whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Lineback, Angela Terms
3491 Inverness Blvd Date Due
Carmel, I N 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/08 130461 Refund 40.00
Total 40.00
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.
Lineback, Angela Allowed 20
3491 Inverness Blvd
1; Carmel, IN 46032
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 130461 4358400 40.00 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
I�Lapmqlw j
Signature
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund