HomeMy WebLinkAbout171798 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362798 Page 1 of 1
0 ONE CIVIC SQUARE AMY COLLINS CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 13189 DUNWOODY LANE
CARMEL IN 46033 CHECK NUMBER: 171798
CHECK DATE: 4129/2009
DEPAR _.-------ACC NUMBE INVOICE NUM AMOUNT DE
1047 4358400 l 252273 15'.00 REFUNDS AWARDS INDE
C`
ACTIVITY REFUND RECEIPT
Receipt 252273 ME IT k
Payment Date: 04/22/2009 Q Ng
Household 18953
Home Phone: (317)564 -4599 APR 2 4 2009
Work Phone:
BY:
AMY COLLINS Monon Center
13189 DUNWOODY LN Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Jenna Collins Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number. 395141 -04 Adorable Updos 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/09/2009 (Cancelled)
Primary Instructor. CCPR Staff
Class Location: Program Room C Class Dates: 04 /24/2009 to 04/24/2009
Monon Center 2:OOP 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 Account (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 04/22/09 08:54 :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 FROBfl 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
w
Receipt 252273
Payment Date: 04 /22/2009
Household 18953
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.
Auth rized Signature Date Authorized Signature Date
X7.4 oa 33a• q3n voo
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.
Collins, Amy Terms
13189 Dunwoody Ln Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/22/09 252273 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
Voucher No. Warrant No.
Collins, Amy Allowed 20
13189 Dunwoody Ln
Carmel, IN 46033
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 252273 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
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund