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Home My WebLink About231580 04/23/14 i CSF . '' CITY OF CARMEL, INDIANA VENDOR: 368125 ® ONE CIVIC SQUARE MICHAEL BENSI CHECK AMOUNT: $*--504.00' CARMEL, INDIANA 46032 10935 LAKESHORE DRIVE EAST CHECK NUMBER: 231580 ,,,,,TtiN�� CARMEL IN 46033 CHECK DATE: 04/23/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 504.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt# 1227277 Carmel a Clay Payment Date: 03/18/14 Parks&Recreation Household #: 25441 Monon Community Center APR - 7 2.014 Michael Bensi Hm Ph: (317)564-8126 Carmel IN 46032 10935 E. Lakeshore LpY. Carmel IN 46033 Cell Ph: Phone: (317)848-7275 Bensi@att.net Fed Tax ID#35-6000972 Enrollment Details CANCELLATION - Refund Of 154.00 Enrollee Name: Aden Bensi Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476002-04 Summer Experience 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 02/20/2014 (Cancelled) Class Location: Founders Park Class Dates: 06/23/2014 to 06/27/2014 Founders Park 7:OOA to 6:OOP 11675 Hazel Dell Parkway M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 Cancel Reason: No longer needs CANCELLATION - Refund Of 175.00 Enrollee Name: Aden Bensi Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476002-09 Summer Experience 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 02/05/2014 (Cancelled) Class Location: Founders Park Class Dates: 07/28/2014 to 08/01/2014 Founders Park 7:OOA to 6:OOP 11675 Hazel Dell Parkway M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 Cancel Reason: No longer needs CANCELLATION Enrollee Name: Aden Bensi Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476007-01 Adventures in Art 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 02/20/2014 (Cancelled) Class Location: Art Studio Class Dates: 06/02/2014 to 06/06/2014 Monon Community Cntr 8:OOA to 5:30P M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Cancel Reason: NO longer needs CANCELLATION Enrollee Name: Aden Bensi Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476007-02 Adventures in Art 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 02/20/2014 (Cancelled) Page# 1 of 2 �'CACTIVITY REFUND RECEIPT arfXl � �I� Receipt# 1227277 Forks&Recreation Payment Date: 03/18/2014 Household #: 25441 Class Location: Art Studio Class Dates: 06/09/2014 to 06/13/2014 Monon Community Cntr 8:OOA to 5:30P M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Cancel Reason: No longer needs CANCELLATION - Refund Of 175.00 Enrollee Name: William Bensi Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476002-09 Summer Experience 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 02/05/2014 (Cancelled) Class Location: Founders Park Class Dates: 07/28/2014 to 08/01/2014 Founders Park 7:OOA to 6:OOP 11675 Hazel Dell Parkway M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 Cancel Reason: No longer needs PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 03/18/14 @ 11:54:10 by L ;p-r' FEES CHANGED ON CANCELLED ITEMS(+) 525.00- �' SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 21.00- APR 7 2014 FNET AMOUNT FROM CANCELLED ITEMS 504.00- 71 TOTAL AMOUNT REFUNDED 504.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 504.00 Made By=_>REFUND FINAN With Reference=_> 1006-2 - 12. All refu�4s are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issued. Au rized Signature Date Authorized Signature Date Escape Day Passes are non-refundable. Page# 2 of 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. Bensi, Michael Terms 10935 E. Lakeshore Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/18/14 1227277 Refund $ 504.00 Total $ 504.00 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. Bensi, Michael Allowed 20 10935 E. Lakeshore Carmel, IN 46033 In Sum of$ $ 504.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or FINVOICENO. Board Members Dept# ACCT#/TITLE AMOUNT I 1082-12 1227277 4358400 $ 504.00 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 17-Apr 2014 eei Signature $ 504.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund