HomeMy WebLinkAbout168639 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362477 Page 1 of 1
ONE CIVIC SQUARE LEIGH OMER
E CARMEL, INDIANA 46032 15478 LONG COVER BLVD CHECK AMOUNT: $40.00
CARMEL IN 46033 CHECK NUMBER: 168639
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 40.00 PARKS DEPARTMENT REFU
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ACTIVITY REFUND RECEIPT
N- c
Receipt 220951
Payment Date: 01/20/2009
Household 23502
Home Phone: (317)669 -0025
Work Phone:
LEIGH OMER Monon Center
15478 LONG COVE BLVD, Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 40.00
Enroffee Name: Kendall Omer 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: 12/08/2008 (Cancelled)
Primary Instructor. CCPR Staff
Class Location: Program Roam C Class Dates: 01/26/2009 to 01/2912009
Monon Center 4:OOP to 4:30P
M,Tu, W,Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: low enrollment
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 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 09:20:53 by CNA FEES CHANGED ON CANCELLED ITEMS 40.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NETAMOUNT:FROKCANCELLEDITEMS 40.00.
TOTAL AMOUNT.REFUNDED 40.00
NEW NET HOUSEHOLD BALANCE 0.00
m
Refund of 40.00 Made By REFUND FINAN With Reference low enrollment
A
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ACTIVITY REFUND RECEIPT
Receipt 220954
Payment Date: 0112012009
Household 23502
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.
I�nacr 2
Authorized Signature Date 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.
Omer, Leigh Terms
15478 Long Cover Blvd Date Due
Carmel, IN 46033
1
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1120109 220951 Refund 40.00
Total IT 40.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Omer, Leigh Allowed 20
15478 Long Cover Blvd
Carmel, IN 46033
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1047 220951 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