HomeMy WebLinkAbout177457 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 363326 Page 1 of 1
ONE CIVIC SQUARE JORDAN WRIGHT
s 0 CHECK AMOUNT: $62.50
CARMEL, INDIANA 46032 5224 SHERWOOD FOREST CT
CARMEL IN 46033 CHECK NUMBER: 177457
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1047 4358400 333114 62.50 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 333114
Payment Date: 09/03/2009
Household 26331
Home Phone: (317)809 -2030
Work Phone:
JORDAN WRIGHT Monon Center
5224 SHERWOOD FOREST CT Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
.Enrollment Details
ROSTER CHANGE Refund Of 62.50
Enrollee Name: Jordan Wright Fees +Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 393023 -17 American Red Cross L 62.50 0.00 62.50 0.00 0.00
Enrollment Date: 04/29/2009 (Enrolled)
Class Location: Conference Room West Class Dates: 04/30/2009 to 05/01/2009
Monon Center 4:30P to 9:OOP
Th,F
Carmel, IN 46032 Scheduled Sessions: 2
(317)848 -7275
Activity Comments: Please arrive 20 minutes before class. You will need to bring your swimsuit, towel, goggles (if
needed) and lunch and snacks.
Fee Details: Fee Description__ _Amount Count Discount Sales Tax Total Fe e
Red Cross Lifeguardi 62.50 1.00 0.00 0.00 62.50
G/L Code Description,._, _Account Number Csl Cntr Description Acco Number Amount
999999 Control Account (AP} Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 62.50 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 09/03/09 15:00 :40 by MCC FEES ADJUSTED ON CHANGED ITEMS 62.50
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NET AMOUNT.FROM.CHANGED ITEMS 62;50
TOTAL AMOUNT.REFUNDED 62.$0`
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 333114
Payment Date: 09/03/2009
Household 26331
Refund of 62.50 Made By RE FUND FINA With Reference red cross completion
All refunds are subject to State Board of Accounts claim pro educe and may take 4 wee sk to process. A chec will be
issued. No cash or credit card refunds.
Authorized Signature' G Dale Authorized Signature Date
C10 �00_�3S
Page 0 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.
Wright, Jordan Terms
5224 Sherwood Forest Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/3/09 333114 Refund 62.50
Total 62.50
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.
J
Wright, Jordan Allowed 20
5224 Sherwood Forest Ct
Carmel, IN 46033
In Sum of
62.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 333114 4358400 62.50 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
10 -Sep 2009
Signature
62.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
'v