HomeMy WebLinkAbout164254 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361902 Page 1 of 1
ONE CIVIC SQUARE STACY GRIFFIN
o CARMEL, INDIANA 46032 12311 WINDSOR DR CHECK AMOUNT: $182.00
ter. M w CARMEL IN 46033 CHECK NUMBER: 164254
CHECK DATE: 9/3012008
DEPARTMENT ACCOUNT PO NUMBE INV OICE N UMBER AMOUNT DESCRIPTION
1047 4358400 T 182.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 186969 RTVFD
Payment Date: 09/11/2008 j
Household 3121
Home Phone: (317)817 -9890 SEP 1 8 2008
Work Phone: (317)632 -0050
BY:
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STACY GRIFFIN Monon Center
12311 WINDSOR DR. Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 495.00
Enrollee Name: Chad Griffin Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 285502 -01 Men's Basketball Lea 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/10/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium C Class Dates: 09/22/2008 to 12/08/2008
Monon Center 6:OOP to 9:00P
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Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 12
Cancel Reason: low enrollment
G /L Cod Descri ption._________ Account Number Cst Cntr D Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 495.00 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DE131T the CONTROL account for the amounts listed above after the checks have been written to the customers.
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PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/11/08 C 13:58:10 by MML FEES CHANGED ON CANCELLED ITEMS 495.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 495.00-
TOTAL AMOUNT REFUNDED 49 La
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 495.00 Made By REFUND FINAN With Reference low enrollment
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Page 1
ACTIVITY REFUND RECEIPT
Receipt 186969
Payment Date: 09/11/08
Household 3121
'All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue ash or c edit card refunds.
Authorized Signature Date Authorized Signature Date
47
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Page #2
Carmel •Clay
Parks &Recreation
F i I e e m o
To: Clerk Treasurer, City of Carmel
From: Audrey Kostrzewa, Business Services Division Manager
Date: September 24, 2008
Re: Refund request for Stacy Griffin
The attached refund receipt shows a refund of $495.00 due to Stacy Griffin as processed in RecTrac
on 9/11/08.
Original payment was made with three separate checks from different individuals to pay for team
participation in a basketall league.
On 9/22/08, the $313.00 check (one of the original three) was returned unpaid because a STOP PAY
had been placed on it. Actual money paid after deduction of the returned check is $182.00.
PLEASE PROCESS A CHECK REFUND ONLY IN THE AMOUNT OF $182.00 to Stacy Griffin.
Copy
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09/12/2008 CO
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your same way you would Co 12311 WINDSOR DR. DATE
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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.
Griffin, Stacy Terms
12311 Windsor Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/11/08 186969 Refund 182.00
Total 182.00
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.
Griffin, Stacy Allowed 20
12311 Windsor Dr
Carmel, IN 46033
In Sum of
182.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 186969 4358400 182.00 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
24 -Sep 2008
Signature
182.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund