HomeMy WebLinkAbout173365 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362929 Page 1 of 1
ONE CIVIC SQUARE MINDA HOFFMAN CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 16632 GREENSBORO DRIVE
WESTFIELD IN 46074 CHECK NUMBER: 173365
CHECK DATE: 6/10/2009
DEPARTM ACCO UNT P NUM BER INVOICE NUMBER AMOUNT DESC
1047 4358400 100.00 REFUNDS AWARDS INDE
j a i S.
r
ACTIVITY REFUND RECEIPT
0
Receipt 263711
Payment Date: 05/25/2009 6=
Household 6573
Home Phone: (317)896 9631 MAY 2 6 1009
Work Phone:
s
MINDA HOFFMAN Monon Center
16632 GREENSBORO DR. Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
G Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 100.00
Enrollee Name: Maxwell Hoffman Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number. 195010 -01 Lil' Kicker -Micro 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/18/2009 (Cancelled)
Primary Instructor. Off the Wall Sports
Class Location: Carey Grove Field Class Dates: 06/05/2009 to 08/07/2009
Carey Grove Park 11:30A to 12:20P
14001 N. Carey Road F
Carmel, IN 46032 Scheduled Sessions: 10
(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 100.00 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 05125/09 08:44:51 by CNA FEES CHANGED ON CANCELLED ITEMS 100.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 150.00.
TOTAL AMOUNT REFUNDED 100.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 100.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACCOUNTS PAYABLE VOUCHER
y 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.
Hoffman, Minda Terms
16632 Greensboro Dr. Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5125/09 263711 Refund 100.00
Total 100.00
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
,20
Clerk- Treasurer
s'
1
Voucher No. Warrant No.
Hoffman, Minda Allowed 20
16632 Greensboro Dr.
Westfield, IN 46074
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1047 263711 4358400 100.00 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
4 -Jun 2009
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund