HomeMy WebLinkAbout173998 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362972 Page 1 of 1
ONE CIVIC SQUARE LINDA PIERCE
0 CHECK AMOUNT: $15.00,
s, CARMEL, INDIANA 46032 16827 ASHLEY BLVD APT L
WESTFIELD IN 46074 CHECK NUMBER: 173998
CHECK DATE: 6/24/2009
DEPARTMEN ACCOUNT PO NUM INVOICE NUMBER AMOUN DES CRIPTION
1047 4358400 15.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
a
Receipt 257359
Payment Date: 05/11/2009
Household 26007
Home Phone: (317)965 -5120
Work Phone:
LINDA PIERCE Monon Center
16827 ASHLEY BLVD, Carmel IN 46032
APT. L
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Linda Pierce Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 194750 -02 Intro to Cycle 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04117/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Fitness Studio A Class Dates: 05/13/2009 to 05/13/2009
Monon Center 6:OOP to 6:45P
W
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: medical damaged nerve in ankle
G!L Cgde Description.... Account Number Csl Cnlr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Accl here 15.00 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 05/11/09 09:46:48 by CEK FEES CHANGED ON CANCELLED ITEMS 15.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 15.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 15,00 Made By REFUND FINAN With Reference medical cancellation 4 y DID 3 DO
Page 9 1
ACTIVITY REFUND RECEIPT
Receipt 257359
Payment Date: 05/11/2009
Household 26007
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. be
issued. No cash or credit card refunds.
00 -01, a-t� Qm 5 11' 09
Authorized Signature Date Authorized Signature
Date
J
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.
Pierce, Linda Terms
16827 Ashley Blvd, Apt L Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5111109 257359 Refund 15.00
Total 15.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Pierce, Linda Allowed 20
16827 Ashley Blvd, Apt L
Westfield, IN 46074
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 257359 4358400 15.00 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
6kA &W0YA'
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund