HomeMy WebLinkAbout178777 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 363203 Page 1 of 1
ONE CIVIC SQUARE KIM MCSHAY
CARMEL, INDIANA 46032 CHECK AMOUNT: $35.00
13440 KINGSBURY DRIVE
CARMEL IN 46032 CHECK NUMBER: 178777
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
-1047 4358400 343780 35.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 343780
Pa �ment Date: 10/12/2009
Household 27543 e
HD;ie Phone: (317)694 -3292 OCT 2 0 2009
B
KIM MCSHAY Monon Center
13440 KINGSBURY DR Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Kelsey McShay Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 296492 -02 Breakin' 101 0.00 0.00 0.00 0.00 0.00
Enrollment Dale: 09/10/2009 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Program Rms B &C Class Dates: 10/07/2009 to 10/28/2009
Monon Center 7:OOP to 7:45P
W
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
G/L Code- Descriptio_n Account Number Cst Cntr Description
Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 35.00 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 10/12/09 13:01:38 by LVA FEES CHANGED ON CANCELLED ITEMS 35.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 35.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 343780
Payment Date: 10/12/2009
Household 27543
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.
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Authorized Signat :L Authorized Signature Date
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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.
McShay, Kim Terms
13440 Kingsbury Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
35.oa
10/12/09 343780 Refund
To #al 35.00
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.
McShay, Kim Allowed 20
13440 Kingsbury Dr
Carmel, IN 46032
In Sum of
w
35.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 343780 4358400 35.00 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
22 -Oct 2009
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund