HomeMy WebLinkAbout174841 07/22/2009 CITY OF CARMEN., INDIANA VENDOR: 363068 Page 1 of 1
ONE CIVIC SQUARE BROOKE ELMROE CHECK AMOUNT: $36.00
CARMEL, INDIANA 46032 1136 FALCON RIDGE
INDIANAPOLIS IN 46280
row t CHECK NUMBER: 174841
CHECK DATE: 7/22/2009
D ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
1047 4358400 36.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 293422
Payment Date: 07/03/2009
Household 5302
Home Phone: (317)574 -9939
Work Phone: JUL 0 7 2009
BROOKE ELMROE Monon Center
1136 FALCON RIDGE Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 20.00
Enrollee Name: Brooke Elmore Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 194319 -03 Amazing Abs 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05130/2009 (Cancelled)
Primary Instructor CCPR Staff
Class Location: Dance Studio Class Dates: 06/01/2009 to 06/29/2009
Monon Center 5:30P to 5:55P
M
Carmel, IN 46032 Scheduled Sessions. 5
(317)848 -7275
Cancel Reason: purchased seasonal unlimited group fitness pass during the month she was enrolled in this
class
CANCELLATION Refund Of 16.00
Enrollee Name: Brooke Elmore Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 1 9431 9 -04 Amazing Abs 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/30/2009 (Cancelled)
Primary Instructor. CCPR Staff
Class Location: Dance Studio Class Dates: 06/03/2009 to 06/24/2009
Monon Center 5:30P to 5:55P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: purchased seasonal unlimited group fitness pass during the month she was enrolled in this
class
GIL Code Description Account Num Cst Cntr_ Des Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 36.00 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.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 293422
Payment Date: 07/03/2009
Household 5302
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/03/09 18:50:50 by CEK FEES CHANGED ON CANCELLED ITEMS 36.00
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NETAMOUNT'FROKCANCELLED ITEMS 36:00:
TOTAL- AMOUNTREEUNDED.;_36t00'•i
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 36,00 Made By REFUND FINAN With Reference cls trans to pass
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.
Cow L �r o oq
Authorized Signature Date Authorized Signature Date
MUSS
4
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.
Elmroe, Brooke Terms
1136 Falcon Ridge Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
713!09 293422 Refund 36.00
Total 36.00
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.
Elmroe, Brooke Allowed 20
1136 Falcon Ridge
Indianapolis, IN 46280
In Sum of$
36.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 293422 4358400 36.00 I 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
36.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund