Loading...
HomeMy WebLinkAbout179397 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363558 Page 1 of 1 ONE CIVIC SQUARE TAMRA ROSE CARMEL, INDIANA 46032 CHECK AMOUNT: $30.00 5911 SILAS MOFFITT WAY CARMEL IN 46033 CHECK NUMBER: 179397 CHECK DATE: 11/11/2009 DEPARTMENT! ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1041 4358400 350287 30.00 REFUNDS AWARDS INDE v ACTIVITY REFUND RECEIPT Receipt 350287 Payment Date: 11/02/09 Household 3667 Monon Center Tamra Rose Hm Ph: (317)844 -2758 Carmel IN 46032 5911 Silas Moffitt Way Wk Ph: (317) Carmel IN 46033 Cell Ph: (317)345 -6057 tjrose06 @yahoo.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 30.00 Enrollee Name: Isabella Beckler Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 296370 -03 Zumba Kills 0.00 0.00 0.00 0.00 0.00 Enrollment bate: 10/15/2009 (Cancelled) Primary Instructor: Tumble Time Class Location: Fitness Studio B Class Dates: 11/05/2009 to 11/19/2009 Monon Center 4-OOP to 4:45P Th Carmel, IN 46032 Scheduled Sessions: 3 (317)848 -7275 Cancel Reason: low enrollment G/L Code Description Account Number Cs_t_Cntr Description Account_Numb_er _Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 30.00 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 CREDIT HOUSEHOLD BALANCE 1.00 Processed on 11/02/09 10:21:00 by LVA FEES CHANGED ON CANCELLED ITEMS 30.00 NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 30.00 NEW NET CREDIT HOUSEHOLD BALANCE 1.00 Refund of 30.00 Made By REFUND FINAN With Reference 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 cash or credit card refunds. Authorized Sign a re Cfate Authorized Signature Date q;qco NOV 0 4 2009 ZY. 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. Rose, Tamra Terms 5911 Silas Moffitt Way Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/2/09 350287 Refund 30.00 Total 30.00 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. Rose, Tamra Allowed 20 '6911 Silas Moffitt Way Carmel, IN 46033 In Sum of 30.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1047 350287 4358400 30.00 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 30.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund