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Home My WebLink About176825 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 363290 Page 1 of 1 ONE CIVIC SQUARE THIRUMALA KOMMURU CARMEL, INDIANA 46032 13713 FOSSIL DRIVE CHECK AMOUNT: $983.50 WESTFIELD IN 46074 CHECK NUMBER: 176825 CHECK DATE: 9/2/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPT ION 1046 4358400 983.50 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT_ Receipt# 328909 AU( 2009 Payment Date: 08/17/2009 Household 13156 Home Phone: (317)733 -2639 1 Work Phone: (317)276 -0261 THIRUMALA KOMMURU Monon Center 13713 FOSSIL DRIVE Carmel IN 46032 WESTFIELD IN 46074 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details ROSTER CHANGE Enrollee Name: Ramita Kommuru Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -31 Vacation Station 150.00 0.00 125.00 25.00 0.00 Enrollment Date: 05/12/2009 (Enrolled) Class Location: College Wood Elem Class Dates: 06/01/2009 to 06/05/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size YM Child's Swimming Level G/L Code Descri Account Number Cst Cntr Description Account Number Amount 999909 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 983.50 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 CREDIT HOUSEHOLD BALANCE 1,008.50 Processed on 08/17/09 09:39:54 by BJJ FEES ADJUSTED ON CHANGED ITEMS 25.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 SALES TAX CHARGED ON CHANGED FEES 0.00 NET AMOUNT FROW HANGED, ITEMS HH BALANCE APPLIED TO THIS RECEIPT 1,008.50 TOTAL REFUNDED .98150 NEW NET HOUSEHOLD BALANCE 0.00 Page 1 ACTIVITY REFUND RECEIPT Receipt 328909 Payment Date: 08/17/2009 Household 13156 Refund of 983.50 Made By REFUND FINAN With Reference Payment of 25.00 Made By Activity Registration Credit Balance All refur7ds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issue d.No cash or credit car refunds. Author" d Signature Date Authorized Signature Date a 00(_ 3s�floo 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. Kommuru, Thirumala Terms 13713 Fossil Drive Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/17/09 328909 Refund 983.50 Total 983.50 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Kommuru, Thirumala Allowed 20 13713 Fossil Drive Westfield, IN 46074 In Sum of 983.50 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 328909 4358400 983.50 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 27 -Aug 2009 Signature 983.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund