HomeMy WebLinkAbout175962 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363200 Page 1 of 1
ONE CIVIC SQUARE DALAI YAN CHECK AMOUNT: $143.00
CARMEL, INDIANA 46032 9970 MASWA CT
CARMEL IN 46033 CHECK NUMBER: 175962
CHECK DATE: 81612009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 305810 143.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 305810
Payment Date: 07/20/2009 r` y.. Ire 111
Household 2360.
Home Phone: (317)5698695
Work Phone: (317)274 -7872 JUL 2 1 2009
Be
DALAI YAN Monon Center
9970 MASWA CT. Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 143.00
Enrollee Name: Eileen Yan Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -18 Vacation Station 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/12/2009 (Cancelled)
Class Location: Forest Dale Elem Class Dates: 07/20/2009 to 07/24/2009
Forest Dale Elementa 7:OOA to 6:OOP
10721 Lakeshore Dr. West M,Tu,W,Th,F
Carmel, IN 46033 Scheduled Sessions: 5
(317)848-7275
Fee Details. Fee. Description Amount _Count Discount _Sales Tax Tota_I Fee
Vacation Station Res 7.00 1.00 0.00 0.00 7.00
Cancel Reason: camper it and will not attend camp this week per her doctor's direction
G/L Code_ Description a sl Cntr Des_ri lion _ccount Number_ Amount
999999 Control Account P) Enter Control Acct CNTRL Control Account (AP) Fnter Control Acct here 143A0 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 07/20/09 13:10.47 by JAS FEES CHANGED ON CANCELLED ITEMS 150.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00-
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 143.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 143.00 Made By REFUND FINAN With Reference check refund
Page 1
ACTIVITY REFUND RECEIPT
Receipt 305$10
Payment Date: 07/20/2009
Household 2360
All re and are ubject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue N cas or cre it card refunds.
Auth i d ignat Date Authorized Signature Date
�U V
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.
Yan, Dalai Terms
9970 Maswa Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7120109 305810 Refund 143.00
Total 143.00
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.
Yan, Dalai Allowed 20
9970 Maswa Ct
Carmel, IN 46033
In Sum of
143.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 305810 4358400 143.00 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
30 -Jul 2009
Signature
143.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund