HomeMy WebLinkAbout155502 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: T360410 Page 1 of 1
ONE CIVIC SQUARE JACQUELYNNE SCHLIEPER CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 585 BORDERWOOD LANE
CARMEL IN 46032 CHECK NUMBER: 155502
CHECK DATE: 1110/2008
Df :PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 76002 15.00 REFUNDS AWARDS INDE
1
I
ACTIVITY REFUND RECEIPT
Receipt 76002
Payment Date: 12/12/2007 j
Household 12923 r
Home Phone: (317)810 -0016 L S 2n07
Work Phone: (317)376 -0920
JACQUELYNNE SCHLIEPER Monon Center
585 BOLDERWOOD LANE Carmel IN 46032
CARMEL, IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: John Schlieper Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 279022 -01 Breakfast with Santa 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 10/12/2007 (Cancelled)
Class Location: Banquet Room -All 3 Class Dates: 12/01/2007 to 12/01/2007
Monon Center 9:OOA to 11:30A
Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: Very Sick
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 15.00 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 12/12/07 12:36:30 by EDR FEES CHANGED ON CANCELLED ITEMS 15.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT�F .ROM "CANCELLED,ilTEMS„ x'.15:00
TOTAL AMOUNT,,REFUNDED �s1,�"�'' 'l
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 15.00 Made By JOURNAL -RF With Reference
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ACTIVITY REFUND RECEIPT
Receipt 76002
Payment Date: 12/12/07
Household 12923
All refunds rq sub"e e o State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
.issued. No a h credit car re urvds
uthorized Signature Date Authorized Signature Date
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.
Jacquelynne Schlieper Terms
585 Bolderwood Lane Date Due
Carmel IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/12/07 76002 Refund 15.00
Total 15.00
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.
Jacquelynne Schlieper Allowed 20
585 Bolderwood Lane
Carmel IN 46032
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 76002 4358400 15.00 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
4 -Jan 2008
Si ure
15.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund