HomeMy WebLinkAbout171991 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: T361241 Page 1 of 1
ONE CIVIC SQUARE BRIAN POE
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CARMEL, INDIANA 46032 5790 GYRFALCON PLACE CHECK AMOUNT: $15.00
CARMEL IN 46033 CHECK NUMBER: 171991
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 252274 15.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 252274
Payment Date: 04/22/2009 P R 2Q�g
Hcttsehold 8473
Home Phone: (317)818 -0609
Work Phone: (317)858 -3083
BRIAN POE Monon Center
5790 GYRFALCON PLACE Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Lydia Poe Fees Tax Discount _Prev Paid Cur Paid Amount Due
Activity Number. 395141 -04 Adorable tlpdo� 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0210212009 (Cancelled)
Primary Instructor. CCPR Staff
Class Location: Program Room C Class Dates: 04/24/2009 to 04/24/2009
Monon Center 2 to 2:45P
F
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: Instructor canceled
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Aocount (AP) Enter Control Acct 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 04122/09 08:56:37 by CNA 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 instructor canceled
Page 1
ACTIVITY REFUND RECEIPT
Receipt 252274
Payment Date: 04/22/2009
Household B473
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.
Autlo(orized Signature Date Authorized Signature Date
L4T H 00. 3 36, y35 NOO
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.
Poe, Brian Terms
5790 Gyrfalcon Place Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4122109 252274 Refund 15.00
Total 15.00
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
1
Voucher No, Warrant No.
Poe, Brian Allowed 20
5790 Gyrfalcon Place
Carmel, IN 46033
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WIFITLE AMOUNT Board Members
Dept
1047 252274 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
27 -Apr 2009
i
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund