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Home My WebLink About164029 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T361821 Page 1 of 1 ONE CIVIC SQUARE YA -EL HALEVI CARMEL, INDIANA 46032 14143 NICHOLAS DRIVE CHECK AMOUNT: $174.00 WESTFIELD IN 46074 CHECK NUMBER: 164029 CHECK DATE: 9/17/2008 DEPARTME ACCOUNT PO NUMB IN VOICE NUMBER A DESCRIPTION 1047 4358400 181250 174.00 REFUNDS AWARDS INDE f i I I ACTIVITY REFUND RECEIPT Receipt 181250 R CRT Payment hate: 08/26/2/2 008 Household 11641 Home Phone: (317)818 -8299 SEP 0 2 2008 Work Phone: BY: YA -EL HALEVI Monon Center 14143 NICHOLAS DRIVE Carmel IN 46032 WESTFIELD IN 46074 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 44.00 Enrollee Name: Harel Halevi Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 283005 -04 Polliwog -Level 1 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 08/10/2008 (Cancelled) Class Location: Indoor Lap Pool 1 Class Dates: 09/08/2008 to 10/08/2008 Monon Center 5:OOP to 5:45P M,W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 10 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Polliwog 0.00 1.00 0.00 0.00 0.00 Polliwog 7.00 1.00 0.00 0.00 7.00 Cancel Reason: personnel CANCELLATION Refund Of 65.00 Enrollee Name: Tamir Halevi Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 283002 -03 Splashin' Tot 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 08/10/2008 (Cancelled) Class Location: Indr Leisure Pool 2 Class Dates: 09/08/2008 to 10/08/2008 Monon Center 5:15P to 5:45P M,W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 10 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Splashin tots Reside 0.00 1.00 0.00 0.00 0.00 Splashin tots Reside 7.00 1.00 0.00 0.00 7.00 Cancel Reason: personnel Page 1 ACTIVITY REFUND RECEIPT Receipt 181250 Payment Date: 08/26/08 Household 11641 I CANCELLATION Refund Of 65.00 Enrollee Name: Eitan Halevi Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 283004 -07 Minnow 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 08/10/2008 (Cancelled) Class Location: Indoor Leisure Pool Class Dates: 09/08/2008 to 10/08/2008 Monon Center 5:15P to 5:45P M,W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 10 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Minnow Resident 0.00 1.00 0.00 0.00 0.00 Minnow Resident 7.00 1.00 0.00 0.00 7.00 Cancel Reason: personnel G/L Code Descri Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 174.00 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 08/26/08 21:36:59 by ARH FEES CHANGED ON CANCELLED ITEMS 195.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 9.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 21 NET AMOUNT FROM CANCELLED ITEMS'.' 174 TOTAL AMOUNT REFUNDED 174.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 174.00 Made By REFUND FINAN With Reference All �efunds are subject to tate Board of Accounts claim procedure and may take 4 -6 weeks o process. A check will be issued. No cash or credit ar efunds Authorized Signal r Date Authorized Signature Date Page 2 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 Halevi, Ya -El Purchase Order No. 14143 Nicholas Drive Terms Westfield, IN 46074 Date Due Invoice Invoice Date Description Number (or note attached invoice(s) or bill(s)) 8/26/08 181250 Refund Amount 174.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance 174.00 with IC 5- 11- 10 -1.6 20 Clerk- Treasurer Voucher No. Warrant No. Halevi, Ya -EI Allowed 20 14143 Nicholas Drive Westfield, IN 46074 In Sum of 174.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or Board Members Dept INVOICE NO. ACCT #/TITLE AMOUNT 1047 181250 4358400 174.00 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 3 -Sep 2008 Signature 174.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund