HomeMy WebLinkAbout178332 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363409 Page 1 of 1
ONE CIVIC SQUARE CHOONGSEOK PARK
�o CARMEL, INDIANA 46032 938 MOHAWK HILLS DR #A CHECK AMOUNT: $65.00
CARMEL IN 46032 CHECK NUMBER: 178332
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 342313 65.00 REFUNDS AWARDS INDE
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GLOBAL REFUND RECEIPT
Receipt 342313 r `tea
Payment Date: 10/05/2009a j
Household 30310
Home Phone: (317)564 -4781 OCT 7 2009
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CHOONGSEOK PARK Monon Center
938 MOHAWK HILLS DR. #A Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 32.50
Enrollee Name: Deborah Park Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 293008 -04 Seahorse -Level 3 32.50 0.00 32.50 0.00 0.00
Enrollment Date: 09/11/2009 (Enrolled)
Class Location: Indoor Lap Pool 3 Class Dates: 10/03/2009 to 11/21/2009
Monon Center 8:OOA to 8:45A
Sa
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Fee Details: Fee Description Amount Count Disco Sales Tax Total Fee
Seahorse- Level 3 32.50 1.00 0.00 0.00 32.50
ROSTER CHANGE Refund Of 32.50
Enrollee Name: Joshua Park Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 293006 -09 Polliwog -Level 1 32.50 0.00 32.50 0.00 0.00
Enrollment Date: 10/01/2009 (Enrolled)
Class Location: Indoor Lap Pool 1 Class Dates: 10/26/2009 to 11/18/2009
Monon Center 5:15P to 6:OOP
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Carmel IN 46032 Scheduled Sessions: 8
(317)848 -7275
Fee Details: Fee Description Amo Count Discount Sales Tax Total Fee
Polliwog 32.50 1.00 0.00 0.00 32.50
Page 1
GLOBAL REFUND RECEIPT
Receipt 342313
Payment Date: 10/05/2009
Household 30310
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 65.00 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 10/05/09 15:36:49 by TCP FEES ADJUSTED ON CHANGED ITEMS 65.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NEVAMOUNT�FROM CHANGED ITEMS 65:00
T0TAL. 765 O11
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 65.00 Made By REFUND FINAN With Reference scholarship 50%
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.
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Authorized Signature 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.
Park, Choongseok Terms
938 Mohawk Hills Dr A Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/09 342313 Refund 65.00
Total 65.00
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.
Park, Choongseok Allowed 20
E� 938 Mohawk Hills Dr #A
Carmel, IN 46032
In Sum of
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65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 342313 4358400 65.00 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
7 -Oct 2009
Signature
65.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund