HomeMy WebLinkAbout174396 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 363035 Page 1 of 1
ONE CIVIC SQUARE YUKA KATAI
l i CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 625 BURR OAK DRIVE
CARMEL IN 46032 CHECK NUMBER: 174396
CHECK DATE: 718/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1047 4358400 30.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 268807
Payment Date: 06/04/2009 JUN 2 4 2009
Household 23448 t
Home Phone: (317)564 -4754
Work Phone:
L
t_
YUKA KITAI Monon Center
625 BURR OAK DR. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 30.00- 30.00 0.00
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 30.00 DR
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 30.00
Processed on 06/04/09 14:37:41 by MML NEW REFUND AMOUNT 30.00
TOTAL REFUNDABLE AMOUNT 30.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subiect to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu o cre card refunds. G
/K dGized Signature D to Authorized Signature Date
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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.
Kitai, Yuka Terms
625 Burr Oak Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/09 268807 Refund 30.00
Total 30.00
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.
Kitai, Yuka Allowed 20
625 Burr Oak Dr
Carmel, IN 46032
In Sum of$
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 268807 4358400 30.00 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
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund