HomeMy WebLinkAbout169919 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: T361844 Page 1 of 1
ONE CIVIC SQUARE JEFF GREENE
CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 12552 SPRING VIOLET
CARMEL IN 46033 CHECK NUMBER: 169919
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 15.00 PARKS DEPARTMENT REFU
i
I
ACTIVITY REFUND RECEIPT
Receipt 235570
Payment Date: 03/05/2009 FMA Household 6772 A Home Phone: (317)942 -1411
Work Phone: 1 2 2009
JEFFREY GREENE Monon Center
12552 SPRING VIOLET 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: Jeremy Greene Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 395201 -03 Romp -N -Stomp 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/26/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium C Class Dates: 03/09/2009 to 03/30/2009
Monon Center 9:15A to 9:45A
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Description
AP Account Number Amoun
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
Processed on 03/05/09 13:53:27 by CNA 0.00
FEES CHANGED ON CANCELLED ITEMS
DISCOUNT APPLIED AGAINST CANCELLED FEES 15.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
0.00
NET AMOUNT FROM CANCELLED ITEMS
15.00
TOTAL AM REFt -NDED
15.00
NEW NET HOUSEHOLD BALANCE
0.00
Refund of 15.00 Made By REFUND FINAN With Reference low enrollment
I
1
ACTIVITY REFUND RECEIPT
r
Receipt 235570
Payment Date: 03/05/2009
Household 6772
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.
31
Authorized Signature Date Authorized Signature Date
y�l.yGC. 30. U 357Y00
Page 2
ACCOUNTS PAYABLE VOUCHER
r 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.
Greene, Jeffrey Terms
12552 Spring Violet Place Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
315109 235570 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.
Greene, Jeffrey Allowed 20
r 12552 Spring Violet Place
Carmel, IN 46033
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 235570 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
12 -Mar 2009
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund