HomeMy WebLinkAbout175238 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 363144 Page 1 of 1
ONE CIVIC SQUARE ANETA ZALEWSKA
e CHECK AMOUNT: $90.00
CARMEL, INDIANA 46032 13209 CAMILLO CT
WESTFIELD IN 46074 CHECK NUMBER: 175238
CHECK DATE: 7/22/2009
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 303470 90.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 303470
Payment Date: 07/15/2009
Household 5759
Home Phone: (317)733 -6402
Work Phone:
AN ETA ZALEWSKA Monon Center
13209 CAMILLO CT Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 12.00
Enrollee Name: Maya Godbole Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 193006 -29 Polliwog Level 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/23/2009 (Cancelled)
Class Location: Indoor Lap Pool 1 Class Dates: 07/27/2009 to 07/30/2009
Monon Center 5:45P to 6:15P
M,Tu,W,Th
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Fee Details: Fee Descri Amount Count Di scount S ales Tax Total Fee
Guppy Level 1 (Youth 7.00 1.00 0.00 0.00 7.00
cancel Reason: Unsatisfied with lesson recieved
CANCELLATION Refund Of 52.00
Enrollee Name: Maya Godbole Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 193006 -34 Polliwog Level 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/23/2009 (Cancelled)
Class Location: Indoor Lap Pool 1 Class Dates: 08/25/2009 to 09/17/2009
Monon Center 5:OOP to 5:30P
Tu,Th
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Fee Details: Fee Description Amount Count Discount Sal Tax Total F ee
Guppy Level 1 (Youth 7.00 1.00 0.00 0.00 7.00
cancel Reason: Unsatisfied with lesson recieved
Page 1
ACTIVITY REFUND RECEIPT
Receipt 303470
Payment Date: 07/15/2009
Household 5759
G/L Code Description Account Number Cst Cntr De Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 90.00 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 26.00
Processed on 07/15/09 14:16:38 by ALC FEES CHANGED ON CANCELLED ITEMS 78.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
NET AMOUNT FROM CANCELLED ITEMS 64.00
HH BALANCE APPLIED TO THIS RECEIPT 26.00
TOTAL AMOUNT REFUNDED 90.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 90.00 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss ed. No cash or credit card refunds.
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Authorized Signature Date Authorized Signature Date
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Page 9 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.
Zalewska, Aneta Terms
13209 Camillo Ct Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/09 303470 Refund 90.00
Total 90.00
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.
Zalewska, Aneta Allowed 20
13209 Camillo Ct
Westfield, IN 46074
In Sum of
90.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 303470 4358400 90.00 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
20 -Jul 2009
Signature
90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund