HomeMy WebLinkAbout168712 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: T362482 Page 1 of 1
r ONE CIVIC SQUARE SUSAN TANCOCK CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032. 14747 ROSEBUD DRIVE
NOBLESVILLE IN 46060 CHECK NUMBER: 168712
CHECK DATE: 2/4/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE. NUMBE AMOUNT DESCRIPTION
1047 4358400 125.00 PARKS DEPARTMENT REFU
m
i
ACTIVITY REFUND RECEIPT
Receipt 217026
Payment Date: 01/12/2009
Household 23565
Home Phone: (317)773 -0906
Work Phone: (765)285 -8560
SUSAN TANCOCK Monon Center
14747 ROSEBUD DR. Carmel IN 46032
NOBLESVILLE IN 46060
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 125.00
Enrolfee Name: Calla Wittman Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 396372 -01 Dancing Little Star 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/12/2008 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Dance Studio Class Dates: 01/16/2009 to 03/06/2009
Monon Center 4:30P to 5:20P
F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: low enrollment
GI Code Description Account Numb Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 125.00 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 01/12/09 09:49:40 by LVA FEES CHANGED ON CANCELLED ITEMS 125.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 125.00-
TOTAL AMOUNT REFUNDED :125.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 125.00 Made By REFUND FINAN With Reference Low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 217026
Payment Date: 01/12/2009
Household 23565
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.
log R o Walo
Authorized Sig 6re ate Authorized Signature Date
Loci ,c 4- '3 gLo 3 7, -01
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.
Tancock, Susan Terms
14747 Rosebud Dr Date Due
Noblesville, IN 46060
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1112/09 217026 Refund 125.00
Total 125.00
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.
Tancock, Susan Allowed 20
14747 Rosebud Dr
Noblesville, IN 46060
In Sum of
1.
125.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 217026 4358400 125.00 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
4
2 -Feb 2009
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund