HomeMy WebLinkAbout160800 06/25/2008 I
CITY OF CARMEL, INDIANA VENDOR: T361453 Page 1 of 1
ONE CIVIC SQUARE TIMOTHY CLIFFORD
CARMEL, INDIANA 46032 1604 QUAIL GLEN COURT CHECK AMOUNT: $48.00
CARMEL IN 46032 CHECK NUMBER: 160800
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 48.00 6DFUNDS AWARDS INDE
;gi
1
ACTIVITY REFUND RECEIPT
Receipt 125378
Payment Date: 06/06/2008
Household 5083
Home Phone: (317)575 -0156
WorK° Phone:
TIMOTHY CLIFFORD Monon Center
1604 QUAIL GLEN COURT Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 27.00
Enrollee Name: Ashley Clifford Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 184340 -02 Complete Strength 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/23/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Fitness Studio B Class Dates: 06/03/2008 to 06/24/2008
Monon Center 1O:OOA to 10:50A
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: broken ankle doctor note
CANCELLATION Refund Of 21.00
Enrollee Name: Ashley Clifford Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 184353 -03 Pilates/Yoga Fusion 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/23/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Fitness Studio B Class Dates: 07/11/2008 to 07/25/2008
Monon Center 9:OOA to 9:50A
F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 3 .RE 7
JUN 1 1 2008
Cancel Reason: broken ankle doctor note I
G/L Code Description Ac count Number C st Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 48.00 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
ACTIVITY REFUND RECEIPT
Receipt 125378
Payment Date: 06/06/08
Household 5083
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/06/08 11:47:37 by CEK FEES CHANGED ON CANCELLED ITEMS 48.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET'AMOUNT'FROWCANCEL'= =LED "ITEMS :48:00;: =1
TOTAL. AMOUNT REFUNDED 4&K,_
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 48.00 Made By JOURNAL -RF With Reference broken ankle -dr note
All refunds are subject to State Board of Accounts claim procedure and ma take 4 weeks to process. A check will be
issued. No cash or credit card refunds.
K GOB jig
Authorized Signature Date Authorized Silllture Date
�`l, 3�0• Son �{35� 4�
S
RECEIVED
JUN 1 1 2008
BY:
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.
Clifford, Timothy Terms
1604 Quail Glen Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/6/08 125378 Refund 48.00
i
Total 48.00
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.
Clifford, Timothy Allowed 20
1604 Quail Glen Court
�s Carmel, IN 46032
In Sum of
48.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1047 125378 4358400 48.00 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
Signature
48.00 Accounts Payable C oordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund