HomeMy WebLinkAbout16899 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: T362563 Page 1 of 1
0 ONE CIVIC SQUARE BETH HIMAN
CARMEL, INDIANA 46032 8802 N MERIDIAN ST STE 100 CHECK AMOUNT: $90.00
INDIANAPOLIS IN 46260 CHECK NUMBER: 168999
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 225284 10.00 REFUNDS AWARDS INDE
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t
e
ACTIVITY REFUND RECEIPT
R C -FIVE,
Receipt 225284
Payment Date: 02/05/2009 FEB 1 1 2009
Household 24132
Home Phone: (317)571 -5316
Work Phone: BY'
BETH HIMAN Monon Center
8802 N. MERIDIAN ST. STE 100 Carmel IN 46032
INDIANAPOLIS IN 46260
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 10.00
Enrollee Name: Beth Himan Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 397800 -01 Senior Health Fair 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/11/2009 (Cancelled)
Class Location: Program Rms A, B, C Class Dates: 02/21/2009 to 02/21/2009
Monon Center 8:OOA to 12:00P
Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
G/L Code Descrip Account Number Csl Cntr Description Account Number Amo
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 10.00 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 02/05/09 1229.51 by MML FEES CHANGED ON CANCELLED ITEMS 10.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 1 0 00- 1
TOTAL AMOUNT REFUNDED 10.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 10.00 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 i
ACTIVITY REFUND RECEIPT
Receipt 225284
Payment Date: 02/05/2009
Household 24132
Oci,
A zed ignature 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.
Himan, Beth Terms
8802 N Meridian St., Ste 100 Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
215109 225284 Refund 10.00
Total 10.00
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.
Himan, Beth Allowed 20
8802 N Meridian St., Ste 100
Indianapolis, IN 46260
In Sum of
10.00
F
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 225284 4358400 10.00 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
13 -Feb 2009
Signature
10,00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund