HomeMy WebLinkAbout177156 09/15/2009 f CITY OF CARMEL, INDIANA VENDOR: 363318 Page 1 of 1
ONE CIVIC SQUARE DEBORAH CORPUS
CARMEL, INDIANA 46032 3610 EMILY WAY CHECK AMOUNT: $62.50
CARMEL IN 46033 CHECK NUMBER: 177156
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMB AMOUNT DE
1047 4358400 333116 62.50 REFUNDS AWARDS INDE
r ACTIVITY REFUND RECEIPT
Receipt 333116
Payment Date: 09/0312009
Household 1887
Home Phone: (317)848 -1671
Work Phone: (317)508 -0907
DEBORAH CORPUS Monon Center
3610 EMILY WAY Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID ##35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 62.50
Enrollee Name: Robert Corpus Fees_ ±_Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 393023 -15 American Red Cross L 62.50 0.00 62.50 0,00 0.00
Enrollment Date: 04/13/2009 (Enrolled)
Class Location Conference Room West Class Dates: 04/16/2009 to 04/17/2009
Monon Center 4:30P to 9:OOP
Th,F
Carmel, IN 46032 Scheduled Sessions: 2
(317)848 -7275
Activity Comments: Please arrive 20 minutes before class. You will need to bring your swimsuit, towel, goggles (if
needed) and lunch and snacks.
Fee Details: Fe Descri ption Count Di Sales Tax Total Fee
Red Cross Lifeguardi 62.50 1.00 0.00 0.00 62.50
GIL Code Account Number Cntf Description Account ,Number A mount
999999 Control Account (AP) Enter Control Accl CNTRL Control Account (AP) Enter Control Acct here 62.50 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance wilt have to DEBIT the CONTROL account for the amounts listed above after the checks have been written lo the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/03/09 15:02:17 by MCC FEES ADJUSTED ON CHANGED ITEMS 62.50
DISCOUNT APPLIED AGAINST THESE FEES O 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NETAMOUNT :FROM CHANGE DITEMS.'`I;; 62:50-
,TOTAL:AMOUNT REFUNDED 12:50:`.
NEW NET HOUSEHOLD BALANCE �In 0.00
C 1 1 �hv� it 1t 1 1 00
Page 1
r
ACTIVITY REFUND RECEIPT
Receipt 333116
Payment Date: 09/03/2009
Household 1887
Refund of 62.50 Made By REFUND FINAN With Referenc red cross completion/
All refunds are subject to State Board of Accounts claim prate ure•-and- ake 4 -6 weeks to process. check will be
issued. No cash or credit card refunds.
3 "z'�
Aulhoriz d Signature Dale Authorized Signature pale
6 'Z 7 _ao- �oo3�ov
Page 4 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.
Corpus, Deborah Terms
3610 Emily Way Date Due
Carmel, IN 46033
invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
913109 333116 Refund 62.50
Total 62.50
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.
Corpus, Deborah Allowed 20
3610 Emily Way
Carmel, IN 46033
In Sum of
62.56
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# Dept or INVOICE NO. ACCT #MTL AMOUNT Board Members
Dept
1047 333116 4358400 62.50 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
10 -Sep 2009
Signature
62.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund