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HomeMy WebLinkAbout187994 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364432 Page 1 of 1 ONE CIVIC SQUARE CHEOLHO PARK 19 CHECK AMOUNT: $50.00 a, CARMEL. INDIANA 46032 3e78 RovvLerT PL WESTFIELD IN 46074 CHECK NUMBER: 187994 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 463331 50.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 463331 Payment Date: 07/05/10 Household 34831 Carmel Elementary Cheolho Park Hm Ph: (317)733 -8172 101`4th Avenue SE 3978 Rowlett PL. Carmel IN 46033 Westfield IN 46074 Cell Ph: hyuna.kong @gmail.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Enrollee Name: Yoonsuh Rhee Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -06 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06110/2010 (Cancelled) Class Location: Creekside Middle Sch Class Dates: 07/05/2010 to 07/09/2010 Creekside Middle Sch 7:00A to 6:OOP 3525 W. 126th Street M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: Enrolled in another camp from the waitlist. CANCELLATION Refund Of 50.00 Enrollee Name: Yoonsuh Rhee Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number. 476001 -08 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 0611012010 (Cancelled) Class Location: Creekside Middle Sch Class Dates: 07/19/2010 to 07/23/2010 Creekside Middle Sch 7:OOA to 6:OOP 3525 W. 126th Street M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: Enrolled in another camp from the waitlist. The following item reflects a payment towards a previous receipt Enrollee Name: Yoonsuh Rhee Fees Tax Discount Prev Maid Cur Paid Amount Due Activity Number: 476005 -06 Success on Stage 135.00 0.00 0.00 135.00 0.00 Enrollment Date: 07/05/2010 (Enrolled) Class Location: Carmel Middle School Class Dates: 07/05/2010 to 07/09/2010 Carmel Middle School 8:30A to 5:30P 300 S Guilford Rd M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Special Questions: Child's T -Shirt Size YM Child's Swimming Level Int The following item reflects a payment towards a previous receipt Enrollee Name: Yoonsuh Rhee Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476005 -08 Success on Stage 135.00 0.00 0.00 135.00 0.00 Enrollment Date: 07/05/2010 (Enrolled) Page 1 ACTIVITY REFUND RECEIPT Receipt 463331 Payment Date: 07/05/2010 Household 34831 Mass Location: Carmel Middle School Class Dates: 07/19/2010 to 07/23/2010 Carmel Middle School 8:30A to 5:30P 300 S Guilford Rd M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Special Questions: Child's T -Shirt Size YM Child's Swimming Level Int PREVIOUS NET HOUSEHOLD BALANCE 270.00 Processed on 07/05/10 11:37:21 by SLH FEES CHANGED ON CANCELLED ITEMS 320.00 NET AMOUNTFROKCANCELLED ;ITEMS 320:017 FEES ADJUSTED ON CHANGED ITEMS 0.00 NET AMOUNT FROM CHANGED ITEMS 0.00 HH BALANCE APPLIED TO THIS RECEIPT 270.00 TOTAL,AMOUNT REFUNDED 50:.O NEW NET HOUSEHOLD BALANCE 0.00 Refund of 50.00 Made By REFUND FINAN With Reference Payment of 270.00 Made By Activity Registration Credit Balance All refund are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issuedl cash or credit card refunds. thorize ignature Date Authorized Signature Dale !9 717 7 r„ JUL 1 1010 1 1 BY 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. Park, Cheolho Terms 3978 Rowlett PI Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 715110 463331 Refund 50.00 Total 50.00 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 1 20 Clerk- Treasurer Voucher No, Warrant No. Park, Cheolho Allowed 20 3978 Rowlett PI Westfield, IN 46074 In Sum of 50.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1082 -1 463331 4358400 50.00 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 15 -Jul 2010 Signature 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund