HomeMy WebLinkAbout164277 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361904 Page 1 of 1
ONE CIVIC SQUARE JEFF HOMAN
`to CARMEL, INDIANA 46032 12761 FORSYTH ST CHECK AMOUNT: $65.00
CARMEL IN 46032
CHECK NUMBER: 164277
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 65.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
V
Receipt 134044
Payment Date: 06/17/2008 Z_ F FD
Household 17950
Home Phone: (317)407 -0830 SEP 1 6 2008
Work Phone:
BY:
JEFF HOMAN Carmel Clay Parks Recreation
12761 FORSYTH ST. 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 65.00
Enrollee Name: Evan Homan Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 183001 -04 Parent and Me 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/1112008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 1 Class Dates: 07/07/2008 to 07/17/2008
Monon Center 5:15P to 5:45P
M,Tu,W,Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: Family will be out of town has conflict
AC
GIL Code Description Account Number Cst Cntr Des cription Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 65.00 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 06/17/08 15:23:14 by ALC FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NETrAMOUNT'F.ROM CANCELLED ITEMS
TOTAL'AMOUNT REFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 65.00 Made By JOURNAL -RF With Reference
Page 1
ACTIVITY REFUND RECEIPT
Receipt 134044
Payment Date: 06/17/08
Household M 17950
*All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refund
w
Authorized S na re Date Authorized Signature Date
Z- 4 3 Ov L as
Al2,
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.
Homan, Jeff Terms
12761 Forsyth St Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6117108 134044 Refund 65.00
Total 65.00
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
Voucher No. Warrant No,
Homan, Jeff Allowed 20
12761 Forsyth St
Carmel, IN 46032
In Sum of
65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 134044 4358400 65.00 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
65.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund