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159680 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T361284 Page 1 of 1 ONE CIVIC SQUARE WILLIAM ZEH CARMEL, INDIANA 46032 13735 FOUR SEASONS WAY CHECK AMOUNT: $100.00 WESTFIELD IN 46074 CHECK NUMBER: 159680 CHECK DATE: 5/14/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 113452 100.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 113452 Payment Date: 05/06/2008 Household 4563 Home Phone: (317)733 -1338 Work Phone: WILLIAM ZEH Carmel Clay Parks Recreation 13735 FOUR SEASONS WAY 1235 Central Park Drive East WESTFIELD IN 46074 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 50.00 Enrollee Name: Ryan Zeh Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 186247 -03 Music, Imagination a 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 0411412008 (Cancelled) Primary Instructor: oogles -n -Goo Class Location: Program Room B Class Dates: 05/08/2008 to 05/29/2008 Monon Center 2:00P to 3:OOP Th Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Cancel Reason: low enrollment CANCELLATION Refund Of 50.00 Enrollee Name: Rachel Zeh Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 186247 -03 Music, Imagination a 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/14/2008 (Cancelled) Primary Instructor:. oogles -n -GOO Class Location.: Program Room B Class Dates: 05/08/2008 to 05/29/2008 Monon Center 2:OOP to 3:OOP Th Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Cancel Reason: low enrollment G/L Code_ Description_._ _Account Number Cst Cntr_ Description Acc_o_unt Number___ Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 100.00 DR The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund. 1g r a Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the cust mers. MAY Q So 2008 BY: Page #1 y ACTIVITY REFUND RECEIPT Receipt 113452 Payment Date: 05/06/08 Household 4563 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 05/06/08 10:02:27 by BJC FEES CHANGED ON CANCELLED ITEMS 100.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 1 NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 7700.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 100.00 Made By JOURNAL -RF With Reference low enollment All refunds are subject to State Board of Accounts claim procedure and a take 4 we s process. A check will be issuedd-� cash or credit card refunds. Authorized (signature Date A ho i Signat re D to �o MAY 0 2008 T Y' 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. Zeh, William Terms 13735 Four Seasons Way Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/6/08 113452 Refund 100.00 Total 100.00 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 20_ Clerk- Treasurer Voter No., Warrant No. i Zeh, William Allowed 20 13735 Four Seasons Way Westfield, IN 46074 F In Sum of 100.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 113452 4358400 100.00 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 Signatu 100.00 Business S r is Manager Cost distribution ledger classification if Tit claim paid motor vehicle highway fund