HomeMy WebLinkAbout178197 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363033 Page 1 of 1
ONE CIVIC SQUARE MARY HOLLINGSEAD
CARMEL, INDIANA 46032 120 POPLAR STREET CHECK AMOUNT: $12.00
WESTFIELD IN 46074
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CHECK NUMBER: 178197
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPT
1047 4358400 342603 12.00 REFUNDS AWARDS INDE
4
ACTIVITY REFUND RECEIPT
eceipt 342603
ayment Date: 10/06/2009
ousehold 26410
ome Phone: (317)896 -2130 OCT G 7 2009
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MARY HOLLINGSEAD Monon Center
120 POPLAR ST. Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Arollment Details
CANCELLATION Refund Of 12.00
Enrollee Name: Mary H011ingsead Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 297045 -01 Financial Planning F 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/26/2009 (Cancelled)
Class Location: Banquet Room B Class Dates: 10/06/2009 to 10/13/2009
Monon Center 6:30P to 8:30P
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Carmel, IN 46032 Scheduled Sessions: 2
(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 12.00 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 10/06/09 14:39:51 by MML FEES CHANGED ON CANCELLED ITEMS 12.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 12.00
TOTAL AMOUNT'REFUNDED 12;00,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 12.00 Made By REFUND FINAN With Reference low enrollment
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.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 342603
Payment Date: 10/06/2009
Household 26410
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Authorized Signatu Date 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.
Hollingsead, Mary Terms
120 Poplar St Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/09 342603 Refund 12.00
Total 12.00
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.
Hollingsead, Mary Allowed 20
120 Poplar St
Westfield, IN 46074
In Sum of
12.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 342603 4358400 12.00 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
7 -Oct 2009
Signature
12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund