HomeMy WebLinkAbout176115 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 363235 Page 1 of 4
ONE CIVIC SQUARE ABBI ACHTERBERG CHECK AMOUNT: $55.00
ti° ,aa CARMEL, INDIANA 46032 5872 SANDALWOOD DRIVE
o CARMEL IN 46033 CHECK NUMBER: 176115
CHECK DATE: 8/1912009
DEPART ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1047 4358400 312422 55.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 312422
Payment Date: 07/30/2009 AUG Q 3 Z",
Household 25742
Home Phone: (317)517 -4421
Work Phone:
:r
ABBI ACHTERBERG Monon Center
5872 SANDALWOOD DR. Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 55.00
Enrollee Name: Evan Achterberg Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 195250 -04 Baby Yoga 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/01/2009 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Fitness Studio A Class Dates: 08/04/2009 to 08/25/2009
Monon Center 9:30A to 10:OOA
Tu
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
G/L Code Description_ Account Number Cst Cntr Description Acco.unt_Number.._ Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 55.00 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 07/30/09 15:44:03 by LVA FEES CHANGED ON CANCELLED ITEMS 55.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 55.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 55.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 312422
Payment Date: 07/30/2009
Household 25742
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
"issue cash or credit card refunds.
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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.
Achterberg, Abbi Terms
5872 Sandalwood Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/09 312422 Refund 55.00
Total 55.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Achterberg, Abbi Allowed 20
5872 Sandalwood Dr
Carmel, IN 46033
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 312422 4358400 55.00 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
13 -Aug 2009
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund