HomeMy WebLinkAbout169157 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: T362572 Page 1 of 1
ONE O CIVIC SQUARE MINDY SKAVRONECK
x CHECK AMOUNT: $15.00
CARMEL, INDIANA 46432 10914 WESTON DR
CARMEL IN 46032 CHECK NUMBER: 169157
iron
CHECK DATE: 2117/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1047 435$'400 225352 15.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 225352
Payment Date: 02/05/2009 F 1 2009
Household 3485
Home Phone: (317)733 -3664
Work Phone: (317)
MINDY SKAVRONECK Monon Center
10914 WESTON DRIVE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Brandon SkaVroneck Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 396455 -01 CoEd Teen Dodgebal 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12120/2008 (Cancelled)
Primary Instructor. CCPR Staff
Class Location: Gymnasium C Class Dates: 02/08/2009 to 03/29/2009
Monon Center 1:OOP to 2:30P
Su
Carmel, IN 46032 Skip Days 02/22/2009
(317)848 -7275 Scheduled Sessions: 7
Cancel Reason: low enrollment
GIL Code D escription Account Nu C st Cntr Descri Ac count Numb Amo
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 15.00 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 02/05/09 16AT47 by LVA FEES CHANGED ON CANCELLED ITEMS 15.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS` 15.00
TOTAL AMOUNT REFUNDED 15.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 15.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 225352
Payment Date: 02/05/2009
Household 3485
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.
G /j
2 i Da Authorized Signature Date
Authorized S ature
07
u
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.
Skavroneck, Mindy Terms
10914 Weston Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/5/09 225352 Refund 15.00
Total 15.00
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.
Skavroneck, Mindy Allowed 20
10914 Weston Dr
Carmel, IN 46032
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 225352 4358400 15.00 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
13 -Feb 2009
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund