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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