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Home My WebLink About156256 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: T360820 Page 1 of 1 ONE CIVIC SQUARE JON MCMATH `a CARMEL, INDIANA 46032 13305 FREEHOLD CT CHECK AMOUNT: $157.20 o CARMEL IN 46032 CHECK NUMBER: 156256 CHECK DATE: 2/6/2008 DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4358400 88096 124.20 REFUNDS AWARDS INDE 1046 4358400 88131 33.00 REFUNDS AWARDS INDE 1 1 GLOBAL REFUND RECEIPT Receipt 88096 Payment Date: 01/28/2008 RECEIV Household 11241 Home Phone: (317)582 -1566 Work Phone: (317)817 -6047 JAN 2 8 2008 BY: I Z JON MCMATH Monon Center 13305 FREEHOLD COURT Carmel IN 46032 CARMEL, IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 124.20- 124.20 0.00 G/L 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 124.20 DR Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers. PREVIOUS NET CREDIT HOUSEHOLD BALANCE 124.20 Processed on 01/28/08 11:29:19 by BJJ NEW REFUND AMOUNT 124.20 TOTAL REFUNDABLE AMOUNT- 124.20: NEW NET HOUSEHOLD BALANCE 0.00 Refund Type: Refund from Finance Refund of 124.20 Made By JOURNAL -RF With Reference All refundspre subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No ash or credit card refunds. s Au orized i nature Date Authorized Signature Date Jol g Vgq°o 4- �O b 6 d' /A�J CSC Page 1 ACTIVITY REFUND RECEIPT RECEIVED Receipt 88131 Payment Date: 01/28/2008 JAN 2 8 2008 Household 11241 Home Phone: (317)582 -1566 BY Work Phone: (317)817 -6047 JON MCMATH Monon Center 13305 FREEHOLD COURT Carmel IN 46032 CARMEL, IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details Enrollee Name: Jon MCMath Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 408001 -02 SR Monthly Before /Af 134.00 0.00 134.00 0.00 0.00 Enrollment Date: 01/28/2008 (Enrolled Transfer from 408008 -02 (SR Yearly AD(after))) Class Location: Smoky Row School Class Dates: 08/14/2007 to 08/31/2007 Smoky Row Elementary 2:30P to 6:OOP 900 West 136th Street M,Tu,W,Th,F Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 14 Activity Comments: Enjoy Your Escape! Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee SR August P.M. 134.00 1.00 0.00 0.00 134.00 Enrollee Name: Jon MCMath Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 408001 -04 SR Monthly Before /Af 182.00 0.00 182.00 0.00 0.00 Enrollment Date: 01/28/2008 (Enrolled Transfer from 408008 -05 (SR Yearly AD(after))) Class Location: Smoky Row School Class Dates: 09/04/2007 to 09/29/2007 Smoky Row Elementary 2:30P to 6:OOP 900 West 136th Street M,Tu,W,Th,F Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 19 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee SR Sept. PM 182.00 1.00 0.00 0.00 182.00 Enrollee Name: Jon MCMath Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 408001 -06 SR Monthly Before /Af 211.00 0.00 211.00 0.00 0.00 Enrollment Date: 01/28/2008 (Enrolled Transfer from 408008 -08 (SR Yearly AD(after))) Page 1 ACTIVITY REFUND RECEIPT Receipt 88131 Payment Date: 01/28/08 Household 11241 Class Location: Smoky Row School Class Dates: 10/01/2007 to 11/02/2007 Smoky Row Elementary 2:30P to 11:30P 900 West 136th Street M,Tu,W,Th,F Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 25 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee SR Oct. PM 211.00 1.00 0.00 0.00 211.00 Enrollee Name: Jon MCMath Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 408001 -08 SR Monthly Before /Af 172.00 0.00 172.00 0.00 0.00 Enrollment Date: 01/28/2008 (Enrolled Transfer from 408008 -11 (SR Yearly AD(after))) Class Location: Smoky Row School Class Dates: 11/05/2007 to 11/30/2007 Smoky Row Elementary 2:30P to 6:OOP 900 West 136th Street M,Tu,W,Th,F Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 20 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee SR Nov. PM 172.00 1.00 0.00 0.00 172.00 Enrollee Name: Jon MCMath Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 408001 -10 SR Monthly Before /Af 144.00 0.00 144.00 0.00 0.00 Enrollment Date: 01/28/2008 (Enrolled Transfer from 408008 -14 (SR Yearly AD(after))) Class Location: Smoky Row School Class Dates: 12/03/2007 to 12/21/2007 Smoky Row Elementary 2:30P to 6:OOP 900 West 136th Street M,Tu,W,Th,F Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 15 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee SR Dec. PM 144.00 1.00 0.00 0.00 144.00 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 01/28/08 13:36:08 by BJJ NET FROM/TO TRANSFER FEES 33.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 NET FROM/TO TRANSFER TAX 0.00 NET AMOUNT FROM CHANGED TOTAL AMOUNT REFUNDED 33.00 NEW NET HOUSEHOLD BALANCE 0.00 Page 2 ACTIVITY REFUND RECEIPT Receipt 88131 Payment Date: 01/28/08 Household 11241 Refund Type: Refund from Finance Refund of 33.00 Made By JOURNAL -RF With Reference ,Amount: 843.00 Payment Type: Activity Registration Credit Balance 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. V x -a Autho Signature Date Authorized Signature Date loqo 3sl qoo �,I o Cgr'J A'-" /J oe±> 67 S-V(-O C LI Page #3 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. Jon McMath Terms 13305 Freehold Ct. Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/28/08 88096 Refund 124.20 1/28/08 88131 Refund 33.00 Total 157.20 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. Jon McMath Allowed 20 13305 Freehold Ct. Carmel, IN 46032 In Sum of 157.20 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 88096 4358400 124.20 1 hereby certify that the attached invoice(s), or 1046 88131 4358400 33.00 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 29 -Jan 2008 Signa re 157.20 Business Servi Mana er Cost distribution ledger classification if Title claim paid motor vehicle highway fund