HomeMy WebLinkAbout179277 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363552 Page 1 of 1
ONE CIVIC SQUARE MATTHEW KAPROVE
CARMEL, INDIANA 46032 5323 RIPPLING BROOK WAY CHECK AMOUNT: $132.00
CARMEL IN 46033 CHECK NUMBER: 179277
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CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 350827 132.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
_S Receipt 350827
Payment Date: 11104/09
Household 30735
Monon Center Matthew Kaprove
Carmel IN 46032 5323 Rippling Brook Way Hm Ph: (317)903 -4152
carmei in 46033 Cell Ph:
Phone: (317)848 -7275 kaprovea @gmail.com
Fed Tax ID #35- 6000972
Refund Details
Module: Activity Registration Orio Bal Refund New Bal
132.00- 132.00 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 132.00 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 132.00
Processed on 11/04/09 07:35:07 by CNA NEW REFUND AMOUNT 132.00
TOTAL REFUNDABLE AMOUNT 132.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 132.00 Made By REFUND FINAN With Reference Kindermusik Do-Si -0o; 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.
d&
Au orized Signature Date Authorized Signature Date
Low &wotlme -nt
9V LM
K u'',J U 4 1009
BY:
Page 1
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.
Terms
Kaprove, matthew Date Due
5323 Rippling Brook Way
Carmel, IN 46033
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) 132.00
1114109 350827 Refund
Total Ti 132.00
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.
Kaprove, matthew Allowed 20
5323 Rippling Brook Way
Carmel, IN 46033
In Sum of
132.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 350827 4358400 132.00 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
5 -Nov 2009
Signature
132.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund