HomeMy WebLinkAbout170032 03/18/2009 ,a CITY OF CARMEL, INDIANA VENDOR: T362675 Page 1 of 1
ONE CIVIC SQUARE NEWKERK MARY CHECK AMOUNT: $26.00
?a CARMEL, INDIANA 46032 49 2ND AVE SW
fib: �o�; CARMEL IN 46032 CHECK NUMBER: 170032
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1047 4358400 26.00 PARKS DEPARTMENT REFU
I
ACTIVITY REFUND RECEIPT
Receipt 234644 F MAR Payment Date: 0 3/02/2009 Household 23370 Home Phone: (317)564 -4748 2 Za Work Phone:
MARY NEWKERK Monon Center
49 2ND AVE. SW Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 26.00
Enrollee Name: Mia Newkerk Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 396377 -01 Natural Art 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/22/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room B Class Dates: 03/03/2009 to 03/31/2009
Monon Center 6:OOP to 7:OOP
Tu
Carmel, IN 46032 Skip Days 03/17/2009
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 26.00 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 03/02/09 14:45:02 by LVA FEES CHANGED ON CANCELLED ITEMS 26.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 26.00
TOTAL AMOUNT REFUNDED 26.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 26.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 234644
Payment Date: 03/02/2009
Household 23370
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued o cash or credit card refunds.
Q49Y U o (i
Authorized Sign a Date Authorized Signature Date
0 L ID 'qX `R5 `I
\rci (►v PA NOL�U Ric�
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.
Terms
Newkerk, Mary
Date Due
49 2nd Ave SW
Carmel, IN 46032
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s))
26.00
312109 234644 Refund
Total 26.00
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.
Newkerk, Mary Allowed 20
49 2nd Ave SW
Carmel, IN 46032
In Sum of
26.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 234644 4358400 26.00 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
26.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund