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Home My WebLink About161207 07/08/2008 CITY OF CARMEL INDIANA VENDOR: T361485 Page 1 of 1_ p ONE CIVIC SQUARE TIMOTHY CLIFFORD CHECK AMOUNT: $88.00 CARMEL, INDIANA 46032 1604 QUAIL GLEN CT CARMEL IN 46032 CHECK NUMBER: 161207 CHECK DATE: 7/8/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIP 1047 4358400 134280 88.00 REFUNDS AWARDS INDE I s I ACTIVITY REFUND RECEIPT Receipt 134280 Payment Date: 06/18/2008 Household 5083 Home Phone: (317)575 -0156 Work Phone: `CE1VFD JUN 2 22008 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 34.00 Enrollee Name: Ashley Clifford Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 184305 -02 Cycling 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/23/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: Fitness Studio A Class Dates: 06/02/2008 to 06/30/2008 Monon Center 10:OOA to 10:50A M Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 5 CANCELLATION Refund Of 27.00 Enrollee Name: Ashley Clifford Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 184305 -03 Cycling 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/23/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: Fitness Studio A, Class Dates: 07/07/2008 to 07/28/2008 Monon Center 10:OOA to 10:50A M Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 CANCELLATION Refund Of 27.00 Enrollee Name: Ashley Clifford Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 184353 -02 Pilates/Yoga Fusion 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/23/2008 (Cancelled) Page 1 ACTIVITY REFUND RECEIPT Receipt 134280 Payment Date: 06/18/08 Household 5083 Primary Instructor: CCPR Staff Class Location: Fitness Studio B Class Dates: 06/06/2008 to 06/27/2008 Monon Center 9:OOA to 9:50A F Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 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 88.00 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 06/18/08 09:51:09 by CEK FEES CHANGED ON CANCELLED ITEMS 88.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 q �7 a q0 3 q �5 q tL NET AMOUNT FROM "GANCELLED`ITEMS 88 00- I l T `TOTAL AMOUNT REFUNDEDT F �ncss NEW NET HOUSEHOLD BALANCE 0.00 Refund of 88.00 Made By JOURNAL -RF With Reference injury doctor note 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. IQ 04 Authorized Signature Date Au h ri d 9&n a I u s Da e 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 1 Purchase Order No. Sk Clifford, Timothy Terms 1604 Quail Glen Court Date Due a Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/18/08 134280 Refund 88.00 Total 88.00 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 Carmel, IN 46032 In Sum of 1 88.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT Dept 1047 134280 4358400 88.00 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 27 -Jun 2008 Signature 88.00 Accounts Payable Coo rdinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund l RED