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178232 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363369 Page 1 of 1 ONE CIVIC SQUARE MEEI -HUEY JENG CHECK AMOUNT: $52.00 a CARMEL, INDIANA 46032 1933 CAMARGUE DRIVE ZIONSVILLE IN 46077 CHECK NUMBER: 178232 CHECK DATE: 10/14/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 342259 52.00 REFUNDS AWARDS INDE GLOBAL REFUND RECEIPT Receipt 342259 a Payment Date: 10/05/2009 OCT Household 30217 0 7 2009 Home Phone: (317)733 -3746 MEEI -HUEY JENG Monon Center 1933 CAMARGUE DRIVE Carmel IN 46032 ZIONSVILLE IN 46077 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 52.00 Enrollee Name: Lee -Ann Kao Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 293005 -06 Minnow 0.00 0.00 0.00 0,00 0.00 Enrollment Date: 09/19/2009 (Cancelled) Class Location: Ind Leisure 5 Class Dates: 10103/2009 to 11/21/2009 Monon Center 8:15A to 8:45A Sa Carmel, IN 46032 Scheduled Sessions: 8 (317)848 -7275 Cancel Reason. advanced request G/L Cod Description Account Number Cst Cn Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 52.00 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 10/05/09 12:22:07 by TCP FEES CHANGED ON CANCELLED ITEMS 52.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 'NET AMOUNT FROM CANCELLED ITEMSI 52.00= TOTAL AMOUNT- REFUNDED 52.00', NEW NET HOUSEHOLD BALANCE 0.00 Refund of 52.00 Made By REFUND FINAN With Reference advanced request 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 GLOBAL REFUND RECEIPT Receipt 342259 Payment Date: 10/05/2009 Household 30217 Authorized Signature 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. Jeng, Meei -Huey Terms 1933 Camargue Drive Date Due Zionsville, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/5/09 342259 Refund 52.00 Total 52.00 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. Jeng, Meei -Huey Allowed 20 1933 Camargue Drive Zionsville, IN 46077 t In Sum of 52.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCTAITITLE AMOUNT Board Members Dept 1047 342259 4358400 52.00 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 52.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund