HomeMy WebLinkAbout168861 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: T362555 Page 1 of 1
ONE CIVIC SQUARE THERESA ANDERSON CHECK AMOUNT: $10.00
CARMEL, INDIANA 46032 66 BENNETT ROAD
CARMEL IN 46032 CHECK NUMBER: 168861
CHECK DATE: 2117/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 225283 10.00 REFUNDS AWARDS INDE
lk i
ACTIVITY REFUND RECEIPT
Receipt 225283
Payment Date: 02/05/2009 RIEC
Household 7457
Horne Phone: (317)575 -5815 F Wok Phone:
THERESA ANDERSON Monon Center
66 BENNETT RD Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 10.00
Enrollee Name: Robert Anderson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 397800 -01 Senior Health Fair 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/18/2009 (Cancelled)
Class Location: Program Rms A, B, C Class Dates: 02/21/2009 to 02/21/2009
Monon Center 8:OOA to 12:OOP
Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
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 10.00 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 02/05/09 12:28:25 by MML FEES CHANGED ON CANCELLED ITEMS 10.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 10.00-
TOTAL AMOUNT REFUNDED 10.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 10.00 Made By REFUND FINAN With Reference low enrollment
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.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 225283
Payment Date: 02/05/2009
Household 7457
a
Authorized gignature 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.
Anderson, Theresa Terms
66 Bennett Rd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/5/09 225283 Refund 10.00
Total 10.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Anderson, Theresa Allowed 20
66 Bennett Rd
Carmel, IN 46032
In Sum of
10.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 225283 4358400 10.00 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 -Feb 2009
�'x�oj&m VY P/
Signature
10.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund