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Home My WebLink About186715 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364253 Page 1 of 1 ONE CIVIC SQUARE SCOTT ADAMS s, CARMEL, INDIANA 46032 6030OSAGE DRIVE CHECK AMOUNT: $400 00 CARMEL IN 46033 CHECK NUMBER: 186715 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 432047 400.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt# 432047 Payment Date: 06/03/10 Household M. 24955 Monon Center Scott Adams Hm Ph: (317)569 -6013 Carmel IN 46032 6030 Osage Drive Wk Ph: (317)815 -6670 Carmel IN 46033 Cell Ph: (317)697-4524 scottma1hm@ameritech.net Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment. Details CANCELLATION Refund Of 100.00 Enrollee Name: Sophie Adams _Fees Ta Discoun Prev Paid Cur Paid Amount Due Activity Number: 476001 -16 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 05126/2010 (Cancelled) Class Location: Clay Middle School Class Dates: 07/05/2010 to 07/09/2010 Clay Middle School 7:OOA to 6:OOP 5150 East 126th Street M,Tu,W,Th,F Carmel IN 46033 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: change in plans no longer need camp (staff miscommunication of refund policies) CANCELLATION Refund Of 100.00 Enrollee Name: Sophie Adams _Fees Tax Di scou nt Prev Paid Cur Paid Amount Due Activity Number: 476001 -17 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 05/26/2010 (Cancelled) Class Location: Clay Middle School Class Dates: 0711212010 to 07/16/2010 Clay Middle School 7:OOA to 6:OOP 5150 East 126th Street M,Tu,W,Th,F Carmel, IN 46033 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: change in plans no longer need camp (staff miscommunication of refund policies) CANCELLATION Refund Of 100.00 Enrollee Name: Sophie Adams Fees Ta aiamun t Prev Paid Cur Paid Amount Due Activity Number: 476001 -18 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 05/26/2010 (Cancelled) Class Location: Clay Middle School Class Dates: 07/1912010 to 07123/2010 Clay Middle School 7:OOA to 6:OOP 5150 East 126th Street M,Tu,W,Th,F Carmel, IN 46033 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: change in plans no longer need camp (staff miscommunication of refund policies) CANCELLATION Refund Of 100.00 Enrollee Name: Sophie Adams Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number. 476001 -19 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 05/26/2010 (Cancelled) �n Page 1 ACTIVITY REFUND RECEIPT Receipt 432047 Payment Date: 06/03/2010 Household 24955 Class Location: Clay Middle School Class Dates: 07/26/2010 to 07/30/2010 Clay Middle School 7:OOA to 6:00P 5150 East 126th Street M,Tu,W,Th,F Carmel IN 46033 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: change in plans no longer need camp (staff miscommunication of refund policies) G/L Code Descri Account Number C st Cntr Descrip Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 400.00 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 240.00 Processed on 06/03/10 11:29:13 by BJJ FEES CHANGED ON CANCELLED ITEMS 640.00 NET,AMOUNT:FROMaCANCELLED'�ITEMS 640300 HH BALANCE APPLIED TO THIS RECEIPT 240.00 cTOTAL?AMOUNT REFUNDED' 400:00, NEW NET HOUSEHOLD BALANCE 0.00 Refund of 400.00 Made By REFUND FINAN With Reference All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. N cash or credit card refunds. A thor' d Signature Date Authorized Signature Date q0 JUN 0 4 2010 )Y: 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. Adams, Scott Terms 6030 Osage Drive Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 613!10 432047 Refund 400.00 Total 400.00 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. Adams, Scott Allowed 20 6030 Osage Drive Carmel, IN 46033 In Sum of 400.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or Board Members Dept INVOICE NO. ACCT #/TITLE AMOUNT 1082 -1 432047 4358400 400.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the i materials or services itemized thereon for which charge is made were ordered and received except i 17 -Jun 2010 Signature 400.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund