HomeMy WebLinkAbout175590 08/06/2009 CITY OF CARMEL INDIANA VENDOR: 363194 Page I of 9
ONE CIVIC SQUARE CHRISTINA BAILEY CHECK AMOUNT: $98.00
CARMEL, INDIANA 46032 1809 WOODSTREAM CT
•ti, oa WESTFIELD IN 46074 CHECK NUMBER: 175590
CHECK DATE: 8/612009
DEPA ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
1047 v 43^58400 305965 98.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 305965 E
Payment Date: 07/20/2009
Household 18771
Home Phone: (317)724 -5117
Work Phone: (317)444 -9784
f CHRISTINA BAILEY Monon Center
1809 WOODSTREAM CT Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 98.00
Enrollee Name: Julian Rienecker Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 195016 -04 Mini Soccer 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/09/2009 (Cancelled)
Primary Instructor: Challenger British Soccer
Class Location: West Park Field Class Dates: 07/27/2009 to 07/31/2009
West Park 10:30A to 12:OOP
2700 W. 116th St. M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Fee Details: Fee Description Amount C ount Discount Sales Tax Total Fee
Mini Soccer 7.00 1.00 0.00 0.00 7.00
Cancel Reason: advanced request
G /L Code Descri Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 98.00 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 07/20/09 14:22:07 by MML FEES CHANGED ON CANCELLED ITEMS 105.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED ITEMS 98.00
TOTAL AMOUNT REFUNDED 98.00
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 305965
Payment Date: 07/20/2009
Household 18771
Refund of 98.00 Made By REFUND FINAN With Reference advanced request
Rewards Points refunded on this receipt: 0.70
Household Reward Point Balance: 16.70
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.
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*Authorized Si ture ate 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.
Bailey, Christina Terms
1809 Woodstream Ct Date Due
Westfield, IN 46074
Inv 7/20/09 305965 oice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
Refund 98.00
Total 98.00
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.
Bailey, Christina Allowed 20
1809 Woodstream Ct
Westfield, IN 46074
In Sum of
98.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1047 305965 4358400 98.00 1 I 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
30 -Jul 2009
Signature
98.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund