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Home My WebLink About159287 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T360148 Page 1 of 1 0 t: ONE CIVIC SQUARE TIMOTHY CLIFFORD CHECK AMOUNT: $34.00 CARMEL, INDIANA 46032 1604 QUAIL GLEN COURT CARMEL IN 46032 CHECK NUMBER: 159287 CHECK DATE: 5/14/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 34.00 PARKS DEPARTMENT REFU 1 ACTIVITY REFUND RECEIPT eceipt 113515 ayment Date: 05/06/2008 ousehold 5083 ome Phone: (317)575 -0156 ✓ork Phone: TIMOTHY CLIFFORD Monon Center 1604 QUAIL GLEN COURT Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 7 -I MAY IV Fed Tax ID #35- 6000972 o 2008 :nr ollment Details CANCELLATION Refund Of 13.00 Enrollee Name: Ashley Clifford Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 184340 -01 Complete Strength 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/23/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: Fitness Studio B Class Dates: 05/06/2008 to 05/27/2008 Monon Center 10:OOA to 10:50A Tu Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Flex 7.00 1.00 0.00 0.00 7.00 Cancel Reason: ankle injury prevents her from attending CANCELLATION Refund Of 21.00 Enrollee Name: Ashley Clifford Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 184351 -01 Pilates Intermediate 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/23/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: Fitness Studio B Class Dates: 05/05/2008 to 05/19/2008 Monon Center 7:OOP to 7:50P Carmel, IN 46032 M (317)848 -7275 Scheduled Sessions: 3 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Pilates: Adult Resi 7.00 1.00 0.00 0.00 7.00 Cancel Reason: ankle injury prevents her from attending Page 1 I ACTIVITY REFUND RECEIPT Receipt 113515 Payment Date: 05/06/08 Household 5083 G/L Code Descri Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 34.00 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 14:32:36 by CEK FEES CHANGED ON CANCELLED ITEMS 48.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00 NETgAMOUNT:4FROM CANCELLED. ITEMS. 34:00 "TOTAL AMOUNT REFUNDED' 34:00.` NEW NET HOUSEHOLD BALANCE 0.00 Refund of 34.00 Made B JOURNAL -RF By With Reference ankle injury All refunds are subject to State Board of Accounts claim procedure and m ake 4 6 w s to process. A check will be issued. No cash or credit card refunds. Authorized Signature Date Au horizdd'Sig at re D to C !qo 3 bbd Page 2 I 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 invoices) or bill(s)) Amount 516108 113515 Refund I Total 34.00 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 Vouc,her No. Warrant No. Clifford, Timothy Allowed 20 1004 Quail Glen Court L..2 -1- Carmel, IN 46032 In Sum of 34.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or Board Members Dept INVOICE NO. ACCT #/TITLE AMOUNT 1047 113515 4358400 34.00 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 12 -May 2008 f i Signatur i 34.00 Business Sei s Man ager Cost distribution leciger classification if Title claim paid motor vehicle highway fund