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Home My WebLink About245007 05/05/2015 �,�ul.49gbf( CITY OF CARMEL, INDIANA VENDOR: 369339 * *i j ONE CIVIC SQUARE WEN-CHIN TSAI CHECK AMOUNT: $ 346.00 s ,?� CARMEL, INDIANA 46032 12913 TRADD ST,APT 30 CHECK NUMBER: 245007 +�;�.__,, CARMEL IN 46032 CHECK DATE: 05/05/15 crud c�. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 1440634 346.00 REFUNDS AWARDS & INDE GLOBAL REFUND RECEIPT Receipt# 1440634 rinl 9 ?y Payment Date: 04/28/15 Parks&Recrea oh Household#: 59074 _-4' Monon Community Center �. Wen-Chin Tsai Hm Ph: (317)771-2543 Carmel IN 46032 APR 9 2015 12913 Tradd street, Apt 3D Wk Ph: (317)771-2543 - Carmel IN 46032 Cell Ph:(317)771-2543 fangling0103@gmail.com Phone: (317)848-7275 - -- - --- -- _.- Fed Tax ID#35-6000972 Enrollment Details CANCELLATION Enrollee Name: Teng-Lei Tsai Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476003-05 Outdoor Explorers 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/03/2015 (Cancelled) Class Location: Multipurpose Room C Class Dates: 06/29/2015 to 07/03/2015 Monon Community Cntr 8:OOA to 5:30P M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Skip Days 07/04/2013, 07/05/2013 Cancel Reason: parent request CANCELLATION Enrollee Name: Teng-Lei Tsai Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476006-18 Science of Summer 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 01/02/2015 (Cancelled) Class Location: Program Rms A, B, C Class Dates: 07/20/2015 to 07/24/2015 Monon Community Cntr 8:OOA to 5:30P M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Cancel Reason: parent request CANCELLATION -Refund Of 166.00 Enrollee Name: Tsan-Yang Tsai Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476003-05 Outdoor Explorers 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/03/2015 (Cancelled) Class Location: Multipurpose Room C Class Dates: 06/29/2015 to 07/03/2015 Monon Community Cntr 8:OOA to 5:30P M,Tu,W;Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Skip Days 07/04/2013, 07/05/2013 cancel Reason: parent request CANCELLATION -Refund Of 180.00 Enrollee Name: Tsan-Yang Tsai Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476006-08 Science of Summer 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 03/31/2015 (Cancelled) Page# 1 of 2 Carmel a Clad GLOBAL REFUND RECEIPT Receipt# 1440634 rks&Recreation Payment Date: 04/28/2015 Household#: 59074 Class Location: Program Rms A, B, C Class Dates: 07/20/2015 to 07/24/2015 Monon Community Cntr 8:OOA to 5:30P M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Cancel Reason: parent request The following item reflects a payment towards a previous receipt Enrollee Name: Tsan-Yang Tsai Fees+Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001-13 Play On 180.00 0.00 0.00 180.00 0.00 Enrollment Date: 04/28/2015 (Enrolled) Class Location: Creekside Middle Sch Class Dates: 06/15/2015 to 06/19/2015 Creekside Middle-Sch - - - - 7-000 to-6:OOP - - - 3525 W. 126th Street M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848-7275 Special Questions: Child's T-Shirt Size?: YS Child's Swimming Level?: Beg PREVIOUS NET HOUSEHOLD BALANCE 180.00 Processed on 04/28/15 @ 15:14:03 by JAB FEES CHANGED ON CANCELLED ITEMS(+) 540.00- SURCHARGE APPLIED AGAINST CANCELLED FEES(-) 14.00- NET AMOUNT FROM CANCELLED ITEMS FEES ADJUSTED ADJUSTED ON CHANGED ITEMS + 0.00 NET AMOUNT FROM CHANGED ITEMS 0.00 HH BALANCE APPLIED TO THIS RECEIPT(+) 180.00 TOTAL AMOUNT REFUNDED 346.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of=_> 346.00 Made By=_>REFUND FINAN With Re y =>parent request;82-3-4358400 refund Payment of=_> 180.00 Made By=_> Activity Re ' pati n Credit Ba All refunds are subject to Stat -B and of f Accounts procedures and may take 4-6 weeks to process. No cash refunds will be issue I Auth�d gnatur 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. Tsai, Wen-Chin Terms ' 12913 Tradd,Street Apt. 3D Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/28/15 1440634 Refund $ 346.00 Total $ 346.00 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 I - Voucher No. Warrant No. Tsai, Wen-Chin Allowed 20 12913 Tradd Street Apt. 3D Carmel, IN 46032 In Sum of$ $ 346.00 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. AdCT#/TITLE AMOUNT Board Members Dept# 1082-3 1440634 4358400 $ 346.00 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 May 4, 2015 / m� e Signature $ 346.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund