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175082 07/22/2009 f CITY OF CARMEL, INDIANA VENDOR: 363072 Page 1 of 1 ONE CIVIC SQUARE KATHLEEN PRATER CARMEL INDIANA 46032 22 WILSON DRIVE CHECK AMOUNT: $60.00 CARMEL IN 46032 CHECK NUMBER: 175082 CHECK DATE: 7/22/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 60.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 293826 Payment Date: 07/06/2009 Household 2191, J a �QQ� Home Phone: (317)815 -1664 Work Phone: (317)255 -3912 KATHLEEN PRATER Monon Center 22 WILSON DR. Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 60.00 Enrollee Name: Mathew Prater Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number. 195285 -04 Kickstart to Kinderg 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 0610112009 (Cancelled) Primary Instructor: ABCs of Phonics Class Location: Program Room B Class Dates: 07/08/2009 to 08/05/2009 Monon Center 1:OOP to 2:OOP W Carmel IN 46032 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: low enrollment GIL 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 60.00 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 07106109 11:31:02 by MML FEES CHANGED ON CANCELLED ITEMS 60.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 6000 TOTAL AMOUNT REFUNDED 60.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 60.00 Made By REFUND FINAN With Reference low enrollment Page 1 ACTIVITY REFUND RECEIPT Receipt 293826 Payment Date: 07/06/2009 Household 2191 All refund ject St Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued it c refunds. 4u, hor S natu al Authorized Signature Date c 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. Prater, Kathleen Terms 22 Wilson Dr Date Due Carmel, 1N 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/6/09 -'9 -Jun Refund 60.00 A 3-2 Total 60.00 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. Prater, Kathleen Allowed 20 22 Wilson Dr Carmel, IN 46032 In Sum of 60.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1047 293826 4358400 60.00 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 16 -Jul 2009 Signature 60.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund