HomeMy WebLinkAbout178605 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 363447 Page 1 of 1
ONE CIVIC SQUARE JENNY ALDRICH
CHECK AMOUNT: $5.00
CARMEL, INDIANA 46032 1678 OLD MISSION COVE
INDIANAPOLIS IN 46280 CHECK NUMBER: 178605
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 347259 5.00 REFUNDS AWARDS INDE
t�
ACTIVITY REFUND RECEIPT
Receipt 347259
Payment Date: 10/19/2009
Household 30757 A
Home Phone: (317)627 -5967
OCT 2009
"7.........
rx JENNY ALDRICH Monon Center
1678 OLD MISSION COVE Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax I D #35- 6000972
Enrollment Details
Enrollee Name: Jenny Aldrich Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 294360 -03 Intro to Group Cycli 15.00 0.00 0.00 15.00 0.00
Enrollment Date: 10/1912009 (Enrolled Transfer from 294760 -04 (Small Group Pilates))
Primary Instructor: CCPR Staff
Class Location: Fitness Studio A Class Dates: 10/24/2009 to 10/24/2009
Monon Center 9:45A to 10:30A
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Fee Details: Fee Description Amo Count Discount Sales Tax Total Fee
Intro to Cycle 15.00 1.00 0.00 0.00 15.00
G/L Code Description Account N umber Cst Cntr Descri Accoun Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 5.00 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 10/19109 05:54:49 by LWW FEES ADJUSTED ON CHANGED ITEMS 5.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
NET FROM/TO TRANSFER TAX 0.00
:`NET AMOUNTaF,ROWCHANGED ITEMS_: y S 00
=TOTALQMOUNT REFLINDE�
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 5.00 Made By REFUND FINAN With Reference
Payment of 15.00 Made By Activity Registration Credit Balance
Page 1
ACTIVITY REFUND RECEIPT
Receipt 347259
Payment Date: 10/19/2009
Household 30757
Rewards Points refunded on this receipt: 1.50
Household Reward Point Balance: 4.00
r�
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
�&R L 10.1q .09 T Q► Icy ao og
Authorized Si nature Date Authorized Signature Date
If oo. 2 2 0. 3 5 9goo
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.
Aldrich, Jenny Terms
1678 Old Mission Cove Date Due
r Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/19/09 347259 Refund 5.00
Total 5.00
I 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.
Aldrich, Jenny Allowed 20
1678 Old Mission Cove
Indianapolis, IN 46280
In Sum of
5.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 347259 4358400 5.00 1 hereby certify that the attached invoice(s), or
bili(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Oct 2009
Signature
5.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund