160911 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: T361460 Page 1 of 1
0 M? ONE CIVIC SQUARE TOM HUSS CHECK AMOUNT: $90.60
CARMEL, INDIANA 46032 510 JET STREAM BLVD
WESTFIELD IN 46074 CHECK NUMBER: 160911
CHECK DATE: 6/2512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMO DES
'il 0 4 7 4358400 90.00 PARKS DEPARTMENT REFU
t
ACTIVITY REFUND RECEIPT
Receipt 126254
Payment Date: 06/07/2008
Household 5763
Home Phone: (317)399 -8047
Work Phone: (317)715 -7929
TOM HUSS Carmel Clay Parks Recreation
510 JET STREAM BLVD. 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 45.00
Enrollee Name: Tommy Huss Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186259 -01 Preschool Gymnastics 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/09/2008 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Gymnasium C Class Dates 06/03/2008 to 06/24/2008
Monon Center 11:30A to 12:OOP
Tu
Carmel, IN 46032 RECEI�oTF'D
(317)$4$ -7275 Scheduled Sessions: 4
JUN 1 1 2008
Cancel Reason: unhappy with class
CANCELLATION Refund Of 45.00
Enrollee Name: Bethany Huss Fees Tax _Discount Prey Paid Cur Paid Amount Due
Activity Number: 186259 -01 Preschool Gymnastics 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04109/2008 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Gymnasium C Class Dates: 06/03/2008 to 06/24/2008
Monon Center 11:30A to 12:OOP
Tu
Carmel, IN 46032
(317)848 7275 Scheduled Sessions: 4
Cancel Reason: unhappy with class
G(L Co_ d@ Description Account Number Cst Cnt Description Number Amount
999999 Contra Account (AP) Enter Control Acct CNTRL Control Account (AP)� Enter Control Acct here 90.00 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.
Page 1
ti
ACTIVITY REFUND RECEIPT
s Receipt 126254
Payment Date: 06/07/08
Household 5763
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/07/08 23:10:42 by CNA FEES CHANGED ON CANCELLED ITEMS 90.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 90.00-
TOTAL AMOUNT REFUNDED 9D.D0
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 90.00 Made By JOURNAL -RF With Reference unhappy with class
All refunds are subject to State Board of Accounts claim procedure and ay take 4, weeks to process. A check will be
issued. No cash or credit card refunds.
�1 (1
A thorized Signature Date Authorized Sig ure Date
Vloo
RECEIVED
JUN I 1 2008
BY:
Page 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
t 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.
Huss, Tom Terms
510 Jet Stream Blvd Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/7/OB 126254 Refund 90.00
Total 90.00
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 1 a 1.6
20_
Clerk- Treasurer
i
Voucher No. Warrant No.
Huss, Tom Allowed 20
510 Jet Stream Blvd
Westfield, IN 46074
In Sum of
90.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 126254 4358400 90.00 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
18 -Jun 2008
�1, fl)
Signature
90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund