HomeMy WebLinkAbout173604 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362932 Page 1 of 1
Ie b ONE CIVIC SQUARE DARCI WILLIS CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 4433 UPCIKE CIRCLE
CARMEL IN 46033 CHECK NUMBER: 173604
CHECK DATE: 6/10/2009
DE PARTM ENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 60.00 REFUNDS AWARDS 3NDE
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ACTIVITY REFUND RECEIPT
77 7 7
Receipt 263715
Payment Date: 05/25/2009 I
Household 25646 MAY 2
Home Phone: (317)816 -0391 M1! s ZQQ9
Work Phone:
DARCI WILLIS Monon Center
4433 UPDIKE CIRCLE Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
i
CANCELLATION Refund Of 60.00
Enrollee Name: Kevin Willis Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number. 195285 -02 Kickstart to Kinderg 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/02/2009 (Cancelled)
Primary Instructor. ABCs of Phonics
Class Location: Program Room B Class Dates: 06/0312009 to 07/01/2009
Monon Center 1:00P to 2:OOP
W
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
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 60.00 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 05125/09 09:25:07 by CNA FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By REFUND FINAN With Reference low enrollment
Page 1
4
ACTIVITY REFUND RECEIPT
Receipt 263715
Payment Date: 05/25/2009
Household 25646
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.
Aut6rized Signature Date Authorized Signature Date
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,
Willis, DarCi Terms
4433 Updike Circle Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/25109 263715 Refund 60.00
Total 60.00
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.
Willis, Darci Allowed 20
4433 Updike Circle
Carmel, IN 46033
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1047 263715 4358400 60.00 I 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
4 -Jun 2009
Signature
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund