156804 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: T360874 Page 1 of 1
ONE CIVIC SQUARE JITENDER SANDADI
CARMEL, INDIANA 46032 1387 KINGSGATE DRIVE CHECK AMOUNT: $300.00
CARMEL IN 46032 CHECK NUMBER: 156804
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 300.00 PARKS DEPARTMENT REFU
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ACTIVITY REFUND RECEIPT
Receipt 90552 CEYVED
Payment Date: 02/05/2008
Household 12490 FEB 0 8 2008
Home Phone: (317)566 -0145
Work Phone: (317)413 -3535 BY
JITENDER SANDADI Carmel Clay Parks Recreation
1387 KINGSGATE DRIVE 1235 Central Park Drive East
CARMEL, IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 150.00
Enrollee Name: Shrithan Sandadi Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 273015 -02 One -On -One Lessons 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 11/12/2007 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Pool Private Lesson2 Class Dates: 09/04/2007 to 12/14/2007
Monon Center 11:OOA to 8:OOP
M,Tu,W,Th,F,Sa
Carmel, IN 46032 Skip Days 11/23/2007, 12/25/2007
(317)848 -7275 Scheduled Sessions: 87
Cancel Reason: Michelle is having surgery and will not be able to continue. Request refund rather than start
with someone else.
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 150.00 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 02/05/08 10:36:21 by KAB FEES CHANGED ON CANCELLED ITEMS 150.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET' "AMOUNT FROM :CANCELLED "ITEMS
TOTAL AMOUNT; REFUNDED
150:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 150.00 Made By JOURNAL -RF With Reference instructor sick
Page 1
ACTIVITY REFUND RECEIPT
Receipt 90552
Payment Date: 02/05/08
Household 12490
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu d. No cash or credit card refunds.
Authorized Signature Date Authorized Signature Date
0
Page 2
ACTIVITY REFUND RECEIPT CEI ED
Receipt 90551 FEB 0 8 2008
Payment Date: 02/05/2008
Household 12490 BY: Z-1.Z& C144hD
Home Phone: (317)566 -0145
Work Phone: (317)413 -3535
JITENDER SANDADI Carmel Clay Parks Recreation
1387 KINGSGATE DRIVE 1235 Central Park Drive East
CARMEL, IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 150.00
Enrollee Name: Nitya Sandadi Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 273015 -02 One -On -One Lessons 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 11/12/2007 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Pool Private Lesson2 Class Dates: 09/04/2007 to 12/14/2007
Monon Center 11:OOA to 8:OOP
M,Tu,W,Th,F,Sa
Carmel, IN 46032 Skip Days 11/23/2007, 12/25/2007
(317)848 -7275 Scheduled Sessions: 87
Cancel Reason: Michelle is having surgery and will not be able to continue. Request refund rather than start
with someone else.
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 150.00 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 02/05/08 10:35:19 by KAB FEES CHANGED ON CANCELLED ITEMS 150.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET: "AMOUNT= FROMfCANCELLED'ITEMS
TOTAL'AMOUNT REFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 150.00 Made By JOURNAL -RF With Reference instuctor sick
Page #1
ACTIVITY REFUND RECEIPT
Receipt 90551
Payment Date: 02/05/08
Household 12490
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.
Authorized Signature Dat Authorized Signature Date
Page #2
y
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.
Jitender Sandadi Terms
1387 Kingsgate Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/5108 90552 Refund 150.00
2/5/08 90551 Refund 150.00
Total 300.00
I 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Jitender Sandadi Allowed 20
1387 Kingsgate Dr.
Carmel, IN 46032
In Sum of
300.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 90552 4358400 300.00 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 -Feb 2008
Sig ture
300.00 Busine Sere ces Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund