HomeMy WebLinkAbout160970 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: T361462 Page 1 of 1
ONE CIVIC SQUARE ERIC MASON
!4 CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 snawzsos
HUNTINGTON IN 46750 CHECK NUMBER: 160970
CHECK DATE: 6125/2008
DEPARTMENT AC P O NUM INVOICE NU AMOUNT DESCRIPTION
1047 4358400 35.00 PARKS DEPARTMENT REFU
i
ACTIVITY REFUND RECEIPT
Receipt 130464 T �1° D
Payment Date: 06/13/2008
Household 19027 JUN 1 7 2008
Home Phone: (260)468 -2642
Work Phone: (317) Y.
ERIC MASON Monon Center
6173 W 250 S Carmel IN 46032
HUNTINGTON IN 46750
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Eric Mason Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 189002 01 Family Campout 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/03/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: West Park Shelter Class Dates: 4630P to09:00A /14/2008
West Park
2700 W. 116th St. F,Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 2
Cancel Reason: Weather
G/ Code Descri Amount
Account Num Cst Cn Descri Accou Number
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 35.00 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/13/08 13:22:18 by SAC FEES CHANGED ON CANCELLED ITEMS 35.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT. °FROM,CANCELLED ITEMS 35:00=
T.OTALAMOUNT_REF.UNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By JOURNAL -RF With Reference weather
Page 1
ACTIVITY REFUND RECEIPT
Receipt 130464
Payment Date: 06/13/08
Household 19027
,,All refunds are subject to State Board of Accounts claim procedure and may tak 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
l os
uthorized Signature 6ate Authorized ign ure Date
t-17 375 300 y3 5$yoL)
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.
Mason, Eric Terms
6173 W 250 S Date Due
Huntington, IN 46750
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/08 130464 Refund 35.00
Total 35.00
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.
Mason, Eric Allowed 20
6173 W 250 S
Huntington, IN 46750
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1047 130464 4358400 35.00 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
9L DQ/YYU)y?
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund