162631 08/07/2008 a CITY OF CARMEL, INDIANA VENDOR: T361650 Page 1 of 1
ONE CIVIC SQUARE JEFF HOOTS
CARMEL, INDIANA 46032 529 KENT LN CHECK AMOUNT: $70.00
s*`p CARMEL IN 46032
CHECK NUMBER: 162361
CHECK DATE: 8/7/2008
[EPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1047 4358400 159623 70.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
�F "VE
Receipt 159623
Payl� lent Date: 07/23/2008 FJ 2 5 2008 Household 18680
Home Phone: (317)848 -7579
Work Phone: (317)872 -2660
JEFF HOOTS Monon Center
529 KENT LANE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 70.00
Enrollee Name: Grace Hoots Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186371 -01 Cheer Class Full Day 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/29/2008 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Gymnasium B Class Dates: 07/26/2008 to 07/26/2008
Monon Center 9:30A to 3:30P
Sa
Carmel, IN 46032
(317)848 7275 Scheduled Sessions: 1
Cancel Reason: tow enrollment
G1L 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 70.00 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 07/23/08 10:16:51 by BJC FEES CHANGED ON CANCELLED ITEMS 70.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET, AMOUNT FROMICANCELLED:ITEMS. .70.00;.
TOTAL:AMOUNT,;REFUNDED 70.00,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 70.00 Made By =z> REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 159623
Payment Date: 07/23/08
Household 18680
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 refunds.
A or' d Signa Date Authorized Signature Date
QUO L(��
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.
Hoots, Jeff Terms
529 Kent Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/08 159623 Refund 70.00
Total 70.00
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.
Hoots, Jeff Allowed 20
529 Kent Lane
Carmel, IN 46032
In Sum of
70.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #!TITLE AMOUNT
1047 159623 4358400 70.00 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
25 -Jul 2008
Signature
70.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund