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