HomeMy WebLinkAbout168851 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: T361654 Page 1 of 1
0 ONE CIVIC SQUARE PARUL PATEL CHECK AMOUNT: $58.00
J,. CARMEL, INDIANA 46032 11489 SCHEEL LN
CARMEL IN 46032 CHECK NUMBER: 168651
CHECK DATE: 2/412009
DEPARTMENT ACC PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
1047 4358400 58.00 REFUNDS AWARDS INDE
ti ACTIVITY REFUND RECEIPT
Receipt 219914
Payment Date: 01 /16JQOI
Household 9271
Home Phone: (317)706 -0651
Work Phone: (317)242 -2275
PARUL PATEL Monon Center
11489 SCHEEL LANE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 58.00
Enrollee Name: Rishi Patel Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 183007 -06 Seahorse Level 3 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/31/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 3 Class Dates: 07/21/2008 to 08/01/2008
Monon Center 10:OOA to 10:45A
M,Tu,W,Th,F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Seahorse Resident 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Family had to go out of town and could not attend class
G/L Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 58.00 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 01/16/03 10:41:46 by ALC FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET�AMOUNT FROM CANCELLED :ITEMS
TOTAL ='AMOUNTREFUNDED 58`,00.::
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 219914
Payment Date: 01/16/2003
Household 9271
Refund of 58.00 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.
Authorized Signature Date Authorized Signature Date
4`7
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.
Patel, Parul Terms
11489 Scheel Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/16109 219914 Refund 58.00
Total 58.00
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.
Patel, Parul Allowed 20
11489 Scheel Lane
Carmel, IN 46032
In Sum of
r
(i
58.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept ept INVOICE NO. ACCT #/TITL AMOUNT
1047 219914 4358400 58.00 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
2 -Feb 2009
Signature
58.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund