HomeMy WebLinkAbout175681 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363202 Page 1 of 1
ONE CIVIC SQUARE LOU ANN ESTRIDGE
CARMEL, INDIANA 46032 11415 CENTRAL DRIVE EAST CHECK AMOUNT: $52.00
CARMEL IN 46032 CHECK NUMBER: 175681
CHECK DATE: 816/2009
D EPARTMENT A CCOU NT PO NUMBE I NVOIC E NUMBER AMOUNT DESCRIPTION
1047 4358400 312336 52.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
u
Receipt 312336
Payment Date: 07/30/2009 JUL 3 1 2009
Household 428
Home Phone: (317)846 -3440
Work Phone:
LOU ANN ESTRIDGE Monon Center
11415 CENTRAL DR. EAST Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 52.00
Enrollee Name: Chloe Bass Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 196371 -04 Cheerleading 0.00 0,00 0.00 0.90 0.00
Enrollment Date: 06/15/2009 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Party Rooms A B Class Dates: 08/05/2009 to 08/26/2009
Monon Center 4:OOP to 4:45P
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Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
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 52.00 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 07/30/09 14:39:19 by LVA FEES CHANGED ON CANCELLED ITEMS 52A0-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 527o0
TOTAL AMOUNT REFUNDED 52.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 52.00 Made By REFUND FINAN With Reference low enrollment
Page 4 1
ACTIVITY REFUND RECEIPT
Receipt 312336
Payment Date: 07/30/2009
Household 428
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu cash or credit card refunds. 7 0 LO
Authorized Sign re Date Authorized Signature Date
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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.
Estridge, Lou Ann Terms
11415 Central Dr East Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7130109 312336 Refund 52.00
Total 52.00
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
1 20
Clerk- Treasurer
Voucher No, Warrant No.
Estridge, Lou Ann Allowed 20
11415 Central Dr East
Carmel, IN 46032
In Sum of
52.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1047 312336 4358400 52.00 1 hereby certify that the attached invoice(s), or
bil!(,$) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
31 -Jul 2009
&lg&rn,17UA
Signature
52.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund