HomeMy WebLinkAbout159229 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 361218 Page 1 of 1
ONE CIVIC SQUARE KEVIN BEMIS
CARMEL, INDIANA 46032 14192 AUTUMN WOODS DRIVE CHECK AMOUNT: $196.00
CARMEL IN 46033
CHECK NUMBER: 159229
CHECK DATE: 511412008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
x.047 4358400 196.00 REFUNDS AWARDS INDE
I
I
I
ACTIVITY REFUND RECEIPT
Recta ipt 113183
Payment Date: 05/05/2008
Household 996
Home Phone: (317)810 -0957
Work Phone:
KEVIN BEMIS Carmel Clay Parks Recreation
14192 AUTUMN WOODS DRIVE 1235 Central Park Drive East
CARMEL IN 46033 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 98.00
Enrollee Name: Kevin Bemis Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 187365 -01 Salsa 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/16/2008 (Cancelled)
Primary Instructor: Rob Jenkins
Class Location: Dance Class Studio Class Dates: 05/02/2008 to 06/20/2008
Dance Class Studio 7:30P to 8:30P
260 W. Carmel Drive F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: Low Enrollment
CANCELLATION Refund Of 98.00
Enrollee Name: Elizabeth Krueger Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 187365 -01 Salsa 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/16/2008 (Cancelled)
Primary Instructor: Rob Jenkins
Class Location: Dance Class Studio Class Dates: 05/02/2008 to 06/20/2008
Dance Class Studio 7:30P to 8:30P
260 W. Carmel Drive F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: Low Enrollment
G/L Code Description Account Number Cst Cnlr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 196.00 DR
1
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 F sLa
MAY Z008 f,
Page 1
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ACTIVITY REFUND RECEIPT
Receipt 113183
Payment Date: 05/05/08
Household 996
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 05/05/08 11:47:49 by MML FEES CHANGED ON CANCELLED ITEMS 196.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 196.00
TOTAL AMOUNT REFUNDED 196.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 196.00 Made By JOURNAL -RF With Reference Low Enrollment
All refunds are subject to State Board of Accounts claim procedure and ma take 4- weeks to process. A check will be
issue d. ash or credit card refunds.
Authorized Signature Date Authorized Signatt� Date
L �`7, Oo 35 LIN
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.
Bemis, Kevin Terms
14192 Autumn Woods Drive Date Due
Carmel, In 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/5/08 113183 Refund 196.00
Total 196.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
i
Voucher No. Warrant No.
Bemis, Kevin Allowed 20
14192 Autumn Woods Drive
Carmel, In 46033
In Sum of
196.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1047 113183 4358400 196.00 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
12 -May 2008
Sig tur
196.00 Business ices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund