HomeMy WebLinkAbout168381 02/04/2009 "T
CI l V OF CARMEL, INDIANA VENDOR: T362469 Page 1 of 1
ONE CIVIC SQUARE MATTHEW BRANAMAN
CARMEL, INDIANA 46032 171 E FLAT ROCK DRIVE CHECK AMOUNT: $63.00
WESTFIELD IN 46074
CHECK NUMBER: 168381
CHECK DATE: 2/4/2009
D EPARTM E NT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 63.00 PARKS DEPARTMENT REFU
I
ACTIVITY REFUND RECEIPT
Receipt 216137
Payment Date: 01/08/2009
Household 2108
Home Phone: (317)867 -2449 V
Work Phone: (317)258 -8142 ED
JAN 9 2009
BY:
MATTHEW BRANAMAN Monon Center
171 E. FLAT ROCK DRIVE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 63.00
Enrollee Name: Mackenzie Stevens Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 396370 -01 Zumba Kids 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/23/2008 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Program Room C Class Dates: 01/15/2009 to 03/05/2009
Monon Center 5:OOP to 6:OOP
Th
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 63.00 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 01/08/09 14:40:17 by LVA FEES CHANGED ON CANCELLED ITEMS 63.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 63.00
TOTAL AMOUNT REFUNDED 63.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 63.00 Made By REFUND FINAN With Reference Zumba low enrollment
Page 1
r•
ACTIVITY REFUND RECEIPT
Receipt 216137
Payment Date: 01/08/2009
Household 2108
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.
19 Oa T n i 3
Authorized Seature Date Authorized Signature Date
Zurn6. Loui -en rot t\i u I-
�'I1. 2 3 W Lq 3� 0 O
Page 2
r 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.
Branaman, Matthew Terms
171 E Flat Rock Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
118/09 216137 Refund 63.00
Total 63.00
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.
Branaman, Matthew Allowed 20
171 E Flat Rock Drive
Westfield, W 46074
In Sum of
63.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept
1047 216137 4358400 63.00 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
2 -Feb 2009
Signature
63.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund