HomeMy WebLinkAbout170176 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: T362680 Page 1 of 1
I t. ONE CIVIC SQUARE ZUMAYA ROSA CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 441 PIEDMONT DRIVE
s rra� i� WESTFIELD IN 46074 CHECK NUMBER: 170176
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 50.00 PARKS DEPARTMENT REFU
l
i
ACTIVITY REFUND RECEIPT
11N 6r {r 7 TtiN
e'er.
Receipt 235331
Payment Date: 03/04/2009 MAR 1 2009
Household 24761
Home Phone: (317)669 -7045
Work Phone: (317) -'T;
ROSA ZUMAYA Monon Center
441 PIEDMONT DRIVE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 50.00
Enrollee Name: Cynthia Villa Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 396454 -02 Zumba Teens 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/17/2009 (Cancelled)
Primary Instructor: Tumble Time
Class Location. Fitness Studio B Class Dates: 03/12/2009 to 04/30/2009
Monon Center 5:OOP to 5:45P
Th
Carmel, IN 46032 Skip Days 04/09/2009
(317)848 -7275 Scheduled Sessions: 7
Cancel Reason: low enrollment
!G L Code descri Account Number Cst C ntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 50.00 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 03/04109 13:29:39 by LVA FEES CHANGED ON CANCELLED ITEMS 50.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 50.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 50.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 235331
Payment Date: 03/0412009
Household 24761
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 S ature Date Authorized Signature Date
W 7 qoo, q WO
Low erlroilkin+ Zurn\Oo,
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.
Zumaya, Rosa Terms
441 Piedmont Dr Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/4109 235331 Refund 50.00
Total 50.00
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.
Zumaya, Rosa Allowed 20
441 Piedmont Dr
Westfield, IN 46074
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#rrITLE AMOUNT Board Members
Dept
1047 235331 4358400 50.00 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
50.00 m Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund