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159656 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T361276 Page 1 of 1 ONE CIVIC SQUARE JEREMY VOGT CARMEL, INDIANA 46032 1353 SPRUCE DR CHECK AMOUNT: $50.00 CARMEL IN 46033 CHECK NUMBER: 159656 CHECK DATE: 5/14/2008 DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION 1047 4358400 113447 50.00 REFUNDS AWARDS INDE i I ACTIVITY REFUND RECEIPT Receipt 113447 Payment Date: 05/06/2008 Household 17092 Home Phone: (317)574 -1727 Work Phone: JEREMY VOGT Carmel Clay Parks Recreation 1353 SPRUCE DR. 1235 Central Park Drive East CARMEL IN 46033 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 50.00 Enrollee Name: Jonah Vogt Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 186247 -01 MUSIC, Imagination a 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/03/2008 (Cancelled) Primary Instructor: oogles -n -Goo Class Location: Program Room B Class Dates: 05/05/2008 to 06/02/2008 Monon Center 10:OOA to 11:OOA M Carmel, IN 46032 Skip Days 05/26/2008 (317)848 -7275 Scheduled Sessions: 4 Cancel Reason: low enrollment G/L Co de Description Account Number Cst Cn Description____..______ Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 50.00 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 05/06/08 09:57:40 by BJC FEES CHANGED ON CANCELLED ITEMS 50.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 50.00 TOTAL AMOUNT REFUNDED 50.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 50.00 Made By JOURNAL -RF With Reference low enrollment 7IED V S 2008 Page 1 ACTIVITY REFUND RECEIPT Receipt 113447 Payment Date: 05/06/08 Household 17092 All refunds are subject to State Board of Accounts claim procedure and ay take wee t ocess. A check will be iss d. No cash or credit card refunds. Autho e 'Signature Date Authori ed at r, ate M AY o c, 2008 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. Vogt, Jeremy Terms 1353 Spruce Dr. Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/6/08 113447 Refund 50.00 Total 50.00 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. Vogt, Jeremy Allowed 20 1353 Spruce Dr. Carmel, IN 46033 In Sum of 50.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members Dept 1047 113447 4358400 50.00 1 hereby certify that the attached invoice(s), or bili(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 Sign tur 50.00 Business Se Vies Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund