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Home My WebLink About187043 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364266 Page 1 of 1 ONE CIVIC SQUARE SARAH STEWART- SCHULTZE f CARMEL, INDIANA 46032 14764 REDCLIFF DR CHECK AMOUNT: $48.00 NOBLESVILLE IN 46062 CHECK NUMBER: 187043 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 435641 48.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 435641 Payment Date: 06/08/10 Household 15517 t►'7 17 Sr 5'0 F Monon Community Center JU U 201 li-i Sarah Stewart Schultze Hm Ph: (317)566 -0262 Carmel IN 46032 14764 Redcliff Dr Wk Ph: (317)655 -7309 Noblesville IN 46062 Cell Ph: BY: schultze86 @yahoo.com Phohe: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 48.00 Enrollee Name: Augustus Schultze Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 103009 -06 Learn to Swim LVI 4 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/06/2010 (Cancelled) Primary Instructor: CCPR Staff Class Location: Outdoor Lap Pool 4 Class Dates: 06/14/2010 to 06/17/2010 Monon Community Cntr 8:05A to 9:OOA M,Tu,W,Th Carmel IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: advance request G/L Code Description Account Number Cs Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 48.00 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 06/08/10 13:56:19 by CEK FEES CHANGED ON CANCELLED ITEMS 55.00 SURCHARGE APPLIED AGAINST CANCELLED FEES O 7.00 NET`AMOUNT FROM;CANCELLEDa1TEMS z 4&0048 sTOTi4L °AMOUNT',REF,..UNDED.E:, y ,48:00` NEW NET HOUSEHOLD BALANCE 0.00 Refund of 48.00 Made By REFUND FINAN With Reference advance request Rewards Points refunded on this receipt: 0.70 Household Reward Point Balance: 0.70 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. (a P f� Authorized Signature Date Authorized Signature Date Page 1 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. Stewart Schultze, Sarah Terms 14764 Redcliff Dr Date Due Noblesville, IN 46062 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 618110 435641 Refund 48.00 Total 48.00 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. Stewart Schultze, Sarah Allowed 20 14764 Redcliff Dr Noblesville, IN 46062 In Sum of 48.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -10 435641 4358400 48.00 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 -Jun 2010 Signature 48.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund