HomeMy WebLinkAbout177425 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 363325 Page 1 of 1
ONE CIVIC SQUARE KAZUYO TSUKAMOTO
CARMEL, INDIANA 46032 9679 SEASIDE DRIVE CHECK AMOUNT: $48.00
INDIANAPOLIS IN 46260 CHECK NUMBER: 177425
CHECK DATE: 9/15/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBE AMO DESCRIPTION
1047 4358400. 333111 48.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 333111 F SE Payment Date: 09/03/2009
Household 29914 4 2009
Home Phone: (317)331 -0634
Work Phone: (317)
KAZUYO TSUKAMOTO Monon Center
9679 SEASIDE DRIVE Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 48.00
Enrollee Name: KazuyO TSukamot0 Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 297226 -01 Calligraphy 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/17/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Art Studio Class Dates: 09/04/2009 to 10/02/2009
Monon Center 7:OOP to 8:OOP
F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 48.00 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 09/03/09 14:54:13 by MML FEES CHANGED ON CANCELLED ITEMS 48.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 48.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 48.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt# 333111
Payment Date: 09/03/2009
Household 29914
All Wed fd ubje to St 4(e Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
or c dit c d refunds.
04 'rP QY( V
nature _j Z te Authorized Signature Date
Z-Cj 56O
Page 2
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to b� 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.
Terms
Tsukamoto, Kazuyo
9679 Seaside Drive Date Due
Indianapolis, IN 46280
Invoice nvo Description
Date or note attached invoice(s) or bill(s)) Amount
48.00
913109 33 Refund
Total 48.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Tsukamoto, Kazuyo Allowed 20
9679 Seaside Drive
Indianapolis, IN 46280
In Sum of
48.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 333111 4358400 48.00 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
10 -Sep 2009
O -Z��
Signature
48.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund