HomeMy WebLinkAbout175067 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 363071 Page 1 of 1
ONE CIVIC SQUARE AMY PARIENT CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 521 LEXINGTON BLVD
'ti,�• �o�` CARMEL IN 46032 CHECK NUMBER: 175067
CHECK DATE: 7122/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
,1046 4358400 150.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 295793
Payment Date: 07/08/2009 i t`il
Household 5319
Home Phone: (317)409 -7610
Work Phone: 1 J U L 2009
AMY PARIENT Monon Center
521 LEXINGTON BLVD. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 150.00
Enrollee Name: Quinlan Parient Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476006 -04 Science of Summer 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01126/2009 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 06/22/2009 to 06/26/2009
Orchard Park Element 8:30A to 5:30P
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: not satisfied w/ heat advisory procedures for ccpr scs
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 150.00 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 07/08/09 10:37:09 by BJJ FEES CHANGED ON CANCELLED ITEMS 150.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT F;ROM'CANCELLED ITEMS 150:001,
TOTAL AMOUNTIREFUNDED 150.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 150.00 Made By REFUND FINAN With Reference
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 295793
Payment Date: 07/08/2009
Household 5319
21
Au orized Si ure Date Authorized Signature Date
0o0�9
S�
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.
Parient, Amy Terms
521 Lexington Blve Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/8/09 -idov- Refund 150.00
Total 150.00
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.
Parient, Amy Allowed 20
521 Lexington Blve
Carmel, IN 46032
In Sum of
Vs
150.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1046 295793 4358400 150.00 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
16 -Jul 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund