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177116 09/15/2009 CITY 0FCARK8EL.INDIANA »emonm 363317 Page 1 of 1 ONE CIVIC SQUARE oxmoAc«so|soL CARmEL.|NDmN*4so32 ,o�^x^n°aupusE CHECK AMOUNT: ��9�0V mEamcm/w^60r4 CHECK NUMBER: 177118 CHECK DATE: 9/151e009 _DEPARTMENT �ocoumT _._PO NUMBER /wvo|nswuMgcR xmouwT os�cn|Pnom 1047 4358400 334570 69.00 REFUNDS AWARDS Z0DE GLOBAL REFUND RECEIPT Receipt 334570" Payment Date: 09/08/2009 Household 16370 Home Phone: (317)733 -4316 Work Phone: (317) CANDACAE BIEDL Monon Center 13204 HADKELL PL Carmel IN 46032 WESTFIELD IN 46074 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 69.00 Enrollee Name: Nicholas Beidl Fees +Tax Discount Prey Paid Cur Paid Amount Due Activity Number- 295297 -01 Science Factory Jr. 0.00 0.00 ROO 0 -00 0 -00 Enrollment Date: 08/17/2009 (Cancelled) Primary Instructor. Fun2Leam Class Location: Program Room C Class Dates: 09/08/2009 to 10/13/2009 Monon Center 10:00A to 10:45A Tu Carmel, IN 46032 Scheduled Sessions: 6 (317)848 -7275 Cancel Reason: low enrollment GIL Code Description Account Number Cat Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 69.00 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 09/08/09 12:00:20 by CNA FEES CHANGED ON CANCELLED ITEMS 69.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 69.00 TOTAL AMOUNT REFUNDED' 69.007 NEW NET HOUSEHOLD BALANCE 0 -00 Refund of 69.00 Made By REFUND FINAN With Reference low enrollment Page 1 GLOBAL REFUND RECEIPT f Receipt 334570 Payment date: 09/08/2009 Household 16370 All refunds are subject to State Board of Accounts claim procedure and may take 46 weeks to process. A check will be issued. No cash or credit card refunds. Authorized Signature Date Authorized Signature Date 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. Biedl, Candacae Terms 13204 Hadkell PI Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 918109 334570 Refund 69.00 Total 69.00 I 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. Biedl, Candacae Allowed 20 13204 Hadkell PI Westfield, IN 46074 In Sum of t� 69.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT AMOUNT Board Members Dept 1047 334570 4358400 69.00 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 10 -Sep 2009 Signature 69.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund