HomeMy WebLinkAbout169935 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: T362670 Page 1 of 1
ONE CIVIC SQUARE HILLAN DENISE
s CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 12453 PEBBLE KNOLL WAY
CARMEL IN 46033 CHECK NUMBER: 169935
CHECK DATE: 3/1812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1047 4358400 50.00 PARKS DEPARTMENT REF'U
i
i
_s i
ACTIVITY REFUND RECEIPT
Receipt 235751 l
Payment Date: 03/06/2009 MAID 1 2009
Household 3100
Home Phone: (317)569 -9416
Work Phone: (317)
DENISE HILLAN Monon Center
12463 PEBBLE KNOLL WAY Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 50.00
Enrollee Name: AleXa Hlllan Fees Discount Prev Paid Cur Paid Amount Due
Activity Number: 396454 -02 Zumba Teens 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0310212009 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Fitness Studio B Class Dates: 03/12/2009 to 04/30/2009
Monon Center 5:OOP to 5:45P
Th
Carmel, IN 46032 Skip Days 04/09/2009
(317)848 -7275 Scheduled Sessions: 7
Cancel Reason: low enrollment
G/L C ode Description Acc ount Numb C st Cntr Descri Account Num Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 50.00 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 03/06/09 09:35:59 by LVA FEES CHANGED ON CANCELLED ITEMS 50.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 50.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 50.00 Made By REFUND FINAN With Reference low enrollment
Page 1
G ACTIVITY REFUND RECEIPT
Receipt 235751
Payment Date: 03/06/2009
Household 3100
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No cash or credit card refunds.
3
AuthorizeS nature Date Authorized Signature Date
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Page 2
ACCOUNTS PAYABLE VOUCHER
r' 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.
Terms
Hillan, Denise
Date Due
12463 Pebble Knoll Way
Carmel, IN 46033
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
50.00
316109 235751 Refund
Total 50.00
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
Voucher No. Warrant No.
Hillan, Denise Allowed 20
12463 Pebble Knoll Way
Carmel, IN 46033
In Sum of
e
50.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 235751 4358400 50.00 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
12 -Mar 2009
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund