HomeMy WebLinkAbout173994 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362971 Page 1 of 1
ONE CIVIC SQUARE ELIZABETH PERGRANDE
CARMEL, INDIANA 46032 12001 WINNERS CIRCLE CHECK AMOUNT: $125.00
CARMEL IN 46032
CHECK NUMBER: 173994
CHECK DATE: 6/24/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'%1046 4358400 125.00 PARKS DEPARTMENT REFU
r
ACTIVITY REFUND RECEIPT
Receipt 271379
Payment Date: 06/08/2009
Household 23111
Home Phone: (317)564 -4676
Work' Phone:
ELIZABETH PERGRANDE Monon Center
12001 WINNERS CIRCLE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 125.00
Enrollee Name: Patrick Pergrande Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476009 -02 Skyhawks Sports 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/25/2009 (Cancelled)
Class Location: Creekside Middle Sch Class Dates: 06/01/2009 to 06/05/2009
Creekside Middle Sch 9:OOA to 12:OOP
3525 W. 126th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: Csatisifed with the camp; guide listed camp as running from 9 -noon, but Skyhawks was
mpression that it ran from 5 -8
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 125.00 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 06108/09 14:50:14 by JAS FEES CHANGED ON CANCELLED ITEMS 125.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 125.00
f V �9 5 D FTOTAL AMOUNT REFUNDED 125.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 125.00 Made By REFUND FINAN With Reference chk refund
Qd 0
Page 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
Purchase Order No.
Pergrande, Elizabeth Terms
12001 Winners Circle Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/8/09 271379 Refund 125.00
Total 125.00
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.
Pergrande, Elizabeth Allowed 20
12001 Winners Circle
r� Carmel, IN 46032
In Sum of
125.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 271379 4358400 125.00 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
18 -Jun 2009
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund