166213 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: T362181 Page 1 of 1
ONE CIVIC SQUARE IAN GEISE CHECK AMOUNT: $232.00
CARMEL, INDIANA 46032 12826 NORFOLK CIRCLE
CARMEL IN 46032 CHECK NUMBER: 166213
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION R T
,1047 4358400 200457 232.00 ,,REFUNDS AWARDS INDE
.t
b, 44 a
ACTIVITY REFUND RECEIPT
Receipt 200457
Payment Date: 11/11/2008
Household 11929
Home Phone: (317)873 -2352
Work Phone:
NOV 4 F200$
IAN GEISE Monon Center
12826 NORFOLK CIRCLE Carmel IN 46032 Y.
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 58.00
Enrollee Name: Catherine GeiSe Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 283001 -03 Parent Me 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 08/21/2008 (Cancelled)
Class Location: Indr Leisure Pool 1 Class Dates: 09/08/2008 to 10/08/2008
Monon Center 9:00A to 9:30A
M,W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Parent Me 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Parent had a schedule conflict
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 174.00 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.
PP.EVIOUS NET CREDIT HOUSEHOLD BALANCE 116.00
Processed on 11/11/08 12:02:22 by ALC FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NETAMOUNT. FROM
CANCELLEDITEMS 58OO:i
HH BALANCE APPLIED TO THIS RECEIPT 116.00
T5TAL>AMOUNT
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 200457
Payment Date: 11/11/2008
Household 11929
Refund of 174.00 Made By REFUND FINAN 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
i sued. No cash o credit card refunds.
Authorized Sig ature D e Authorized Signature Date
Page 2
ACTIVITY REFUND RECEIPT
Receipt 200458 'C�_'ATVIF
Payment Date: 11/11/2008
Household 11929 7 NOV 1 2008
Home Phone: (317)873 -2352
Work Phone: By:
IAN GEISE Monon Center
12826 NORFOLK CIRCLE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 58.00
Enrollee Name: Hannah Geise Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 283003 -04 Guppy 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 08/21/2008 (Cancelled)
Class Location: Indr Leisure Pool 3 Class Dates: 09/08/2008 to 10/08/2008
Monon Center 9:OOA to 9:30A
M,W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Fee Details: Fee Description Amo Count Discount Sales Tax Total Fee
7.00 1.00 0.00 0.00 7.00
Cancel Reason: Paren thad a schedule conflict
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 58.00 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 11/11/08 12:03:11 by ALC FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET MOUNT FROM ?CANCELLED ITEMS, 5800-:
TOTAL'AMOUNT REFUNDED 58.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 58.00 Made By REFUND FINAN With Reference
Page 1
ACTIVITY REFUND RECEIPT
Receipt 200458
Payment Date: 11/11/2008
Household 11929
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
i su a h or credit card refunds.
gna ate Authorized Signature Date
�3a 3
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.
Terms
Geise, Ian
Date Due
12826 Norforlk Circle
Carmel, IN 46032
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
174.00
11111/08 200457 Refund 58.00
11111108 200458 Refund
Total 232.00
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.
Geise, Ian Allowed 20
12826 Norforlk Circle
Carmel, IN 46032
In Sum of
232.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 200457 4358400 174.00 1 hereby certify that the attached invoice(s), or
1047 200458 4358400 58.00 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
20 -Nov 2008
r
Signature
232.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund