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Home My WebLink About159516 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T361273 Page 1 of 1 e, ONE CIVIC SQUARE ANN NOURI CHECK AMOUNT: $161.00 CARMEL, INDIANA 46032 10430 BOSAHAN COURT CARMEL IN 46032 CHECK NUMBER: 159516 CHECK DATE: 5/14/2008 DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4358400 161.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 111737 R ECEIVED Payment Date: 04(2912008 Household 17420 APR 2 9 2008 Home Phone: (317)334 -0382 Work Phone: BY ANN NOURi Monon Center 10430 BOSAHAN CT. Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 73.50 Enrollee Name: Nathan Nouri Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number. 476009 -05 Skyhawks Sports 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04116/2008 (Cancelled) Class Location: Smoky Row Elem Class Dates: 06/09/2008 to 06/13/2008 Smoky Row Elementary 9:OOA to 3:OOP 900 West 136th Street M,Tu,W,Th,F Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 5 Fee Details: Fee Description___ Amount Co_unt Disc _Sales Tax _Total Fee Skyhawks Sports Resi 7.00 1.00 0.00 0.00 7.00 Cancel Reason: family issues will prohibit the child from participating in camp CANCELLATION Refund Of 87.50 Enrollee Name: Nathan Nouri Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number. 476009 -24 Skyhawks Sports 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/16/2008 (Cancelled) Class Location: Smoky Row Elem Class Dates: 07(2812008 to 08/01/2008 Smoky Row Elementary 9:OOA to 3:OOP 900 West 136th Street M,Tu,W,Th,F Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 5 Fee Details: Fe_e_ _Amount -----.Count Discount Sales Tax Total Fee_ Skyhawks Sports Resi 7.00 1.00 0.00 0.00 7.00 Cancel Reason: family issues will prohibit the child from participating in camp F IVED 5 2008 Page 1 ACTIVITY REFUND RECEIPT Receipt 111737 Payment Date: 04/29/08 Household 17420 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 161.00 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 175.00 Processed on 04/29/08 14:52:09 by JAS FEES CHANGED ON CANCELLED ITEMS 350.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00 NET AMOUNT FROM CANCELLED ITEMS 336.00 HH BALANCE APPLIED TO THIS RECEIPT 175.00 TOTAL AMOUNT REFUNDED 161.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 161.00 Made By JOURNAL -RF With Reference 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. .�x d A n e gnature Date Authorized Signature Date VV CAJ Duv�/4 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. Nouri, Ann Terms 10430 Bosahan Ct. Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4129108 11737 Refund 161.00 Total 161.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Nouri, Ann Allowed 20 10430 Bosahan Ct. Carmel, IN 46032 In Sum of 161.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1046 11737 4358400 161.00 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 13 -May 2008 Signatu 161.00 Business S i .Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund