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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. T� lu 0 1 Authorized Signat :L Authorized Signature Date U 1 4,90. qUO Ll `/J ?qOO (pow e"n wv-v 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