HomeMy WebLinkAbout169530 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362608 Page 1 of 1
„o ONE CIVIC SQUARE CILISSA MELLOTT
CARMEL, INDIANA 46032 5792 GREBE WAY
CHECK AMOUNT: $8.00
CARMEL IN 46033 CHECK NUMBER: 169530
CHECK DATE: 31412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 226211 $.00 REFUNDS AWARDS TNDE
ACTIVITY REFUND RECEIPT
Receipt 226211
Payment Date: 02108/2009
Household 8091
Home Phone: (317)843 -0517
Work Phone: (317)655 -1101
CILISSA MELLOTT Monon Center
5792 GREBE WAY Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 8.00
Enrollee Name: Nolan Mellott Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 395130 -01 Sound Bingo 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/0812008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room C Class Dates: 02/09/2009 to 02109/2009
Monon Center 11:OOA to 11:30A
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
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 8.00 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 CREDIT HOUSEHOLD BALANCE 65.00
Processed on 02/08/09 20:41:14 by CNA FEES CHANGED ON CANCELLED ITEMS 8.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT:F.; ROM 'CANCELLED `ITEMS 8.0o-
TOTAL AMOUNT:',REFUKDED,
NEW NET CREDIT HOUSEHOLD BALANCE 65.00
Refund of 8.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 226211
Payment Date: 02/08/2009
Household 8091
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.
Auth rized signature Date Authorized Signature Date
Page 2
ACCOUNTS PAYABLE VOUCHER
s .4 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.
Mellott, Cilissa Terms
5792 Grebe Way Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
218109 226211 Refund 8.00
Total 8.00
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.
Mellott, Cilissa Allowed 20
5792 Grebe Way
Carmel, IN 46033
In Sum of$
a
P 8.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 226211 4358400 8.00 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
26 -Feb 2009
Signature
8.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund