HomeMy WebLinkAbout166346 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: T362190 Page 1 of 1
t ONE CIVIC SQUARE MARY BETH PITCHKITES
0 CHECK AMOUNT: $53.00
CARMEL, INDIANA 46032 13193 DUNWOODY LANE
CARMEL IN 46033 CHECK NUMBER: 166346
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIP
'047 4358400 197782 53.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 197782
Payment Date: 10/30/2008 F P R' EC ,P""T,TF';P H ausehold 4270 H ne Phone: (317)571 -9439 NOV 1 2 2008 Wi Phone: (317)287 -6295
MARY BETH PITCHKITES Monon Center
13193 DUNWOODY LN Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
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CANCELLATION Refund Of 53.00
Enrollee Name: Nina Pitchkites Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286426 -01 Safe Sitters 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 08/25/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Rms A, B, C Class Dates: 11/01/2008 to 11/01/2008
Monon Center 9:OOA to 4:OOP
Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Fee Details: Fee Description_ ____Am_ount —count, Discount Sales Tax __Total Fee_
Safe Sitter Resident 7.00 1.00 0.00 0.00 7.00
Cancel Reason: family emergency
G/ Code Descrip Account Number Cst Cnt Description___ Account Number _Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 53.00 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 10/30/08 11:54:47 by LVA FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 53.00
NEW NET HOUSEHOLD BALANCE 0.00
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ACTIVITY REFUND RECEIPT
Receipt 197782
Payment Date: 10/30/2008
Household 4270
Refund of 53.00 Made By REFUND FINAN With Reference Family Emergency
Rewards Points refunded on this receipt: 0.70
Household Reward Point Balance: 0.70
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No cash or credit card refunds.
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i' Authorized Si 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.
Pitchkites, Mary Beth Terms
13193 Dunwoody Ln Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/30/08 197782 Refund 53.00
Total 53.00
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.
Pitchkites, Mary Beth Allowed 20
13193 Dunwoody Ln
Carmel, IN 46033
In Sum of
53.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 197782 4358400 53.00 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
17 -Nov 2008
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Signature
53.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund