HomeMy WebLinkAbout168912 02/17/2009 F CITY OF CARMEL, INDIANA VENDOR: T362556 Page 1 of 1
ONE CIVIC SQUARE CHUN CHANG
0
CARMEL, INDIANA 46032 5095 WOOD DUCK CT CHECK AMOUNT: $30.00
ti i)o� 80 CARMEL IN 46033 CHECK NUMBER: 168912
CHECK DATE: 211712009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1047 4358400 222923 30.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 222923 CRIVED
Payment Date: 01/28/2009
Household 21804 FEB 0 9 2009
Home Phone: (330)998 -1096
Work Phone: (317)
BY:
CHUN CHANG Morton Center
5095 WOOD DUCK COURT Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 30.00
Enrollee Name: Dylan Chang Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 396312 -01 After School Dodgeba 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/30/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium C Class Dates: 02/02/2009 to 03/23/2009
Monon Center 4:OOP to 5:OOP
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
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 30.00 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 01/28/09 20:58:29 by MML FEES CHANGED ON CANCELLED ITEMS 30.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 30.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 222923
Payment Date: 01/28/2009
Household 21804
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu o sh r credit card refunds.
oriz Signature Date Authorized Signature Date
Page 2
ACCOUNTS PAYABLE VOUCHER
w 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.
Chang, Chun Terms
5095 Wood Duck Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number s) or bill(s)) Amount
or note attached invoice(
30.00
1128109 222923 Refund
Total 30.00
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.
Chang, Chun Allowed 20
i 5095 Wood Duck Court
Carmel, IN 46033
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #fTlTLE AMOUNT Board Members
Dept
1047 222923 4358400 30.00 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
13 -Feb 2009
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund