HomeMy WebLinkAbout165455 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362066 Page 1 of 1
c, +4f ONE CIVIC SQUARE JOE TEODORO
CARMEL, INDIANA 46032 1419 W MAIN ST CHECK AMOUNT: $105.00
APT 3C CHECK NUMBER: 165455
CARMEL IN 46032
CHECK DATE: 1 012 912 0 08
DEPARTMENT .:.AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 192188 105.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 192188
Payment Date: 10/06/2008 V V
Household 22212
Home Phone: (317)663 -4931
Work Phone: (317)706 -3429 OCT X 4 2008
BY:
JOE TEODORO Monon Center
1419 W MAIN ST APT 3C Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 88.00
Enrollee Name: Joe Teodoro Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number 287398 -01 Wine 101 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 09!07/2008 (Cancelled)
Primary Instructor: Grape Insperations
Class Location: Grape Inspir. Winery Class Dates: 10/07/2008 to 10/21/2008
Grape Inspir. Winery 6:00P to 8:OOP
1307 S. Rangeline Rd. Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 3
Fee Details: Fee _Description Amount Count Discount Sales Tax Total Fee
wine 101 7.00 1.00 0.00 0.00 7.00
Cancel Reason: personal withdrawl
GIL_Code Description Account Number Cst Cntr Description Account Number
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 105,00 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 17.00
Processed on 10106!08 09:56:38 by MML FEES CHANGED ON CANCELLED ITEMS 95.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SAES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 7.00
NET AMOUNT FROM CANCELLED ITEMS 88.00
HH BALANCE APPLIED TO THIS RECEIPT 17.00
7OTAL AMOUNT REFUNDED 195.00
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 192188
Payment Date: 10!06!2008
Household 22212
,.Refund of 105.00 Made By REFUND FINAN With Reference personal withdrawl
.Rewards Points refunded on this receipt: 0.70
ti
Household Reward Point Balance: 11.90
All refun are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue c s or gledit card refunds.
16 /1�1�
Authorized Signature Datl Authorized Signature Date
7. �a ��c�a 35E
Page 4 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.
Teodoro, Joe Terms
1419 W Main St. Apt 3C Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1016108 192188 Refund 105.00
Total 105.00
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.
Teodoro, Joe Allowed 20
9419 W Main St. Apt 3C
Carmel, IN 46032
In Sum of$
105.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 192188 4358400 105.00 6 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
15 -Oct 2008
Signature
105.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund