HomeMy WebLinkAbout170004 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: T357862 Page 1 of 1
ONE CIVIC SQUARE KEYA MACON- WAGNER
CARMEL, INDIANA 46032 CHECK AMOUNT: $110.00
5335 CREEK BEND DR
CARMELIN 46033 CHECK NUMBER: 174004
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1047 4358400 110.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 236769 MAN 1 9 2009
Payment Date: 03/10/2009
Household 7533
Home Phone: (317)566 -1359
Work Phone: (317)
KEYA MACON- WAGNER Monon Center
5335 CREEKBEND DRIVE Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 110.00
Enrollee Name: Imerson Macon- Wagner Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 396373 -02 Dancing as a Star 1 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/16/2009 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Dance Studio Class Dates: 03/13/2009 to 04/24/2009
Monon Center 5:30P to 6:20P
F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 7
cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 110.00 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 03/10/09 10:05:38 by LVA FEES CHANGED ON CANCELLED ITEMS 110.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 110.00
TOTAL AMOUNT REFUNDED 110.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 110.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 236769
Payment Date: 03/10/2009
Household 7533
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued o cash or credit card refunds.
3II0109
Authorized Si ture 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.
Macon Wagner, Keya Terms
5335 Creekbend Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3110109 236769 Refund 110.00
Total 110.00
I 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.
Macon- Wagner, Keya Allowed 20
5335 Creekbend Dr
A Carmel, IN 46033
In Sum of
110.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 236769 4358400 110.00 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
110.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund