HomeMy WebLinkAbout170087 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: T357582 Page 1 of 1
ONE CIVIC SQUARE KIMBERLY ROOP CHECK AMOUNT: $110.00
CARMEL, INDIANA 46032 1001 STANSFIELD DRIVE
'y o CARMEL IN 46032 CHECK NUMBER: 170087
CHECK DATE: 3118/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1047 4358400 110.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt# 236540 w Ha
Payment Date: 03/09/2009
Household 107 triA 1 2009
Home Phone: (317)848 -9312
Work Phone: (317)727 -0872
KIMBERLY ROOP Monon Center
1001 STANSFIELD DR. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 110.00
Enrollee Name: Lauren ROOp Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 396372 -02 Dancing Little Star 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/26/2009 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Dance Studio Class Dates: 03/13/2009 to 04/24/2009
Monon Center 4:30P to 5:20P
F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 7
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 110.00 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 03/09/09 13:34:30 by LVA FEES CHANGED ON CANCELLED ITEMS 110.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 110.00
TOTAL AMOUNT. REFUNDED 110.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 110.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 236540
Payment Date: 03/09/2009
Household 107
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.
Authorized SI ture ate Authorized Signature Date
Low (Iron 1 iv�uq+- 6
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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
Roop, Kimberly
Date Due
1001 Stansfield Dr
Carmel, IN 46032
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
110.00
3/9/09 236540 Refund
EIEEI F::::EE Total 110.00
I 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.
Roop, Kimberly Allowed 20
1001 Stansfield Dr
Carmel, IN 46032
In Sum of
110.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 236540 4358400 110.00 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
110.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund