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Home My WebLink About179359 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363556 Page 1 of 1 ONE CIVIC SQUARE JENNIFER PARK CARMEL, INDIANA 46032 425 KIMBROUGH LANE CHECK AMOUNT: $85.00 CARMEL IN 46032 CHECK NUMBER: 179359 CHECK DATE: 11/11/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 350292 85.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 350292 Payment Date: 11/02/09 Household 4504 Mon on Center Jennifer Park Hm Ph: (317)815 -8411 Carmel IN 46032 425 Kimbrough Ln Wk Ph: (317)817 -2595 Carmel IN 46032 Cell Ph. jpark0924 @att.net Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 85.00 Enrollee Name: Jasmine Park Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 296409 -01 Cooking 101 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 10/10/2009 (Cancelled) Class Location: Kiss Z Cook Class Dates: 11/04/2009 to 11/04/2009 KissZCook 6:30P to 8:30P 390 E. 116th St. Ste 12-5 W Carrnel, IN 46032 Scheduled Sessions: 1 (317)815 -0681 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 85.00 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 11/02/09' 10:42:13 by LVA FEES CHANGED ON CANCELLED ITEMS 85.00 NET AMOUNT FROM CANCELLED ITEMS 85.00 TOTAL AMOUNT REFUNDED 85.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 85.U.' Made By REFUND F161AN With Reference low enrollment All refunds are subect to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. o cash cr credit card refunds. Authorized Sign a re 6ato Authorized Signature Date Es QW 9 W/ 3 D a NOV 0 4 2009 BY Page 1 1 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 A Purchase Order No. Park, Jennifer Terms 425 Kimbrought Ln Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1112109 350292 Refund 85.00 Total 85.00 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. Park, Jennifer Allowed 20 425 KimbroughVLn Carmel, IN 46032 In Sum of 85.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 350292 4358400 85.00 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 5 -Nov 2009 Signature I 85.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund