HomeMy WebLinkAbout168625 02/04/2009 a CITY OF CARMEL, INDIANA VENDOR: T357073 Page 1 of 1
is 0 ONE CIVIC SQUARE FUMIKA NONAKA CHECK AMOUNT: $40.00
CARMEL, INDIANA 46032 3868 CORNWALLIS LANE
on c a CARMEL IN 46032 CHECK NUMBER: 168625
CHECK DATE: 2/4/2009
DEPARTMENT. ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1047 4358400 40.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Ifeceipt 220950
Payment Date: 01/20/2009
Household 14686
Home Phone: (317)733 -2160
Work Phone: (317)
`i
FLIMIKA NONAKA Monon Center
1 3868 CORNWALLIS LANE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 40.00
Enrollee Name: Juri Nonaka Fees +Tax Discount Prev Paid Cur Paid Amount Due
Activity Number. 395131 -01 Baby Signs 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/0912008 (Cancelled)
Primary instructor. CCPR Staff
Class Location: Program Room C Class Dates 01/26/2009 to 01/29/2009
Monon Center 4:OOP to 4:30P
M,Tu, W,Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: low enrollment
GIL 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 40.00 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 01/20/09 09:18:43 by CNA FEES CHANGED ON CANCELLED ITEMS 40,00_
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROKCANCELLED ITEMS 40.00
TOTAL AMOUNT REFUNDED 40.00
NEW NET HOUSEHOLD BALANCE 0.00
gym,
Refund of 40.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
;l Receipt 220950
Payment Date: 01/20/2009
Household 14686
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.
Authorized Signature Date Authorized Signature Date
Page #2
ACCOUNTS PAYABLE VOUCHER
R 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.
Nonaka, Fumika Terms
1
3868 Cornwallis Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
g 40.00
1/20109 220950 Refund
Total 40.00
1 hereby certify that the attached invoice(s), or bi11(s) is (are) true and correct and 1 have audited same in accordance
with 1C 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Nonaka, Fumika Allowed 20
3868 Cornwallis Lane
Carmel, IN 46033
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 220950 4358400 40.00 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 -Feb 2009
Signature
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund