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Home My WebLink About155630 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 360717 Page 1 of 1 ONE CIVIC SQUARE KIM ADELSPERGER CHECK AMOUNT: $240.00 CARMEL, INDIANA 46032 3852 MINUTE MAN CIRCLE CARMEL IN 46032 CHECK NUMBER: 155630 CHECK DATE: 1/23/2068 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 82307 240.00 REFUNDS AWARDS INDE t� ACTIVITY REFUND RECEIPT Receipt 82307 Payment Date: 01/07/08 Household 7611 Primary Instructor: CCPR Staff Mass Location: Parking Lot East Class Dates: 12/15/2007 to 12/15/2007 Monon Center 2:OOP to 12:OOA Su,Sa Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 1 Cancel Reason: low enrollment CANCELLATION Refund Of 60.00 Enrollee Name: Miles Adelsperger Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 279213 -01 Cincinnati Zoo Light 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/06/2007 (Cancelled) Primary Instructor: CCPR Staff Class Location: Parking Lot East Class Dates: 12/15/2007 to 12/15/2007 Monon Center 2:OOP to 12:OOA Su,Sa Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 1 Cancel Reason: low enrollment G/L Code Description Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 240.00 DR The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund. Fi6i nce 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 01107/08 17:19:05 by SAC FEES CHANGED ON CANCELLED ITEMS 240,00- DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 240 00- T OTAL AMOUNT REFUNDED 240.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund Type: Refund from Finance Refund of 240.00 Made By JOURNAL -RF With Reference low enrollment All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 eeks to process. A check will be is ed. No cash or credit card refunds. Authorized Signature Date AuKorize Sign tur D t n 7,3 70 ;-WQ 4. oo Page 2 ACTIVITY REFUND RECEIPT t Receipt 82307 Payment Date: 01/07/2008 Household 7611 i JAN I Home Phone: (317)733 -8086 Work Phone: (317)582 -7665 �'ZZ Gyh ,p KIM ADELSPERGER Carmel Clay Parks Recreation 3852 MINUTE MAN CIRCLE 1235 Central Park Drive East CARMEL, IN 46032 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 60.00 Enrollee Name: Kim Adelsperger Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 279213 -01 Cincinnati Zoo Light 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/06/2007 (Cancelled) Primary Instructor: CCPR Staff Class Location: Parking Lot East Class Dates: 12/15/2007 to 12/15/2007 Monon Center 2:OOP to 12:OOA Su,Sa Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 1 Cancel Reason: low enrollment CANCELLATION Refund Of 60.00 Enrollee Name: Aaron Adelsperger Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 279213 -01 Cincinnati Zoo Light 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/06/2007 (Cancelled) Primary Instructor: CCPR Staff Class Location: Parking Lot East Class Dates: 12/15/2007 to 12/15/2007 Morton Center 2:OOP to 12:OOA Su,Sa Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 1 Cancel Reason: low enrollment CANCELLATION Refund Of 60.00 Enrollee Name: Graham Adelsperger Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 279213 -01 Cincinnati Zoo Light 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 09/06/2007 (Cancelled) 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. x Payee Purchase Order No. Kim Adelsperger Terms 3852 Minute Man Circle Date Due Carmel IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/7/08 82307 Refund 240.00 Total 240.00 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. Kim Adelsperger Allowed 20 3852 Minute Man Circle Carmel IN 46032 In Sum of 240.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members Dept 1047 82307 4358400 240.00 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 16 -Jan 2008 Signatu e 240.00 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund