HomeMy WebLinkAbout174356 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 363033 Page 1 of 1
0 ONE CIVIC SQUARE MARY HOLLINGSEAD CHECK AMOUNT: $5.00
CARMEL, INDIANA 46032 120 POPLAR STREET
WESTFIELD IN 46074 CHECK NUMBER: 174356
CHECK DATE: 7/8/2009
D EPAR T MEN T ACCO PO NUMBER IN N AMOUNT DE
1047 4358400 5.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 283908
Payment Date: 06/23/2009
Household 26410
Home Phone: (317)896 -2130 p
work Phone: JUL 0 2 2009
MARY HOLLINGSEAD Monon Center
120 POPLAR ST. Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 5.00
Enrollee Name: Mary H011ingsead Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 197050 -01 Genealogy Land Recor 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/01/2009 (Cancelled)
Primary Instructor: Sue Dillon
Class Location: Meeting Room Class Dates: 06/20/2009 to 06/20/2009
Monon Center 9:30A to 12:30P
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: cancelled by ccpr
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 5.00 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 06/23/09 15:36:11 by MML FEES CHANGED ON CANCELLED ITEMS 5.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 5.00-'
TOTAL AMOUNT REFUNDED 5.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 5.00 Made By REFUND FINAN With Reference ccpr cancelled
Page 1
y ACTIVITY REFUND RECEIPT
Receipt 283908
Payment Date: 06/23/2009
Household 26410
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash cre it card refunds.
Authorized Signature ate Authorized Signature Date
q70-Z
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
6/23/09 283908 Refund 5.00
Total 5.00
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
5.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 283908 4358400 5.00 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 -Jul 2009
v
Signature
5.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund