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Home My WebLink About155802 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: T360726 Page 1 of 1 ONE CIVIC SQUARE TATYANA LEBEDEVA CARMEL, INDIANA 46032 10829 BELMONT CR CHECK AMOUNT: $157.20 INDPLS IN 46280 CHECK NUMBER: 155802 CHECK DATE: 1123/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4358400 84291 124.20 REFUNDS AWARDS INDE 1.046 4358400 84450 33.00 REFUNDS AWARDS INDE 'i, ACTIVITY REFUND RECEIPT Receipt 84450 Payment Date: 01/11/2008 Household 2850 �Q� 2��8 Home Phone: (317)580 -9609 Work Phone: (317)688 -2774 TATYANA LEBEDEVA Carmel Clay Parks Recreation 10829 BELMONT CR. 1235 Central Park Drive East INDIANAPOLIS, IN 46280 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details Enrollee Name: Elizabeth Lebedeva Fees Tax Discount Prev Paid Cur Paid A_ mount Due Activity Number: 406001 -02 OP Monthly Before /Af 134.00 0.00 134.00 0.00 0.00 Enrollment Date: 01/11/2008 (Enrolled Transfer from 406008.02 (OP Yearly AD(after))) Class Location: Orchard Park Elem Class Dates: 08/14/2007 to 08/31/2007 Orchard Park Element 2:30P to 6:OOP 10404 Orchard Park Drive South M,Tu,W,Th,F Indianapolis, IN 46280 (317)848 -7275 Scheduled sessions: 14 Activity Comments: Enjoy Your Escape! Fee Details: Fee Description Amount Count Discount Sales T ax Tot al�Fee OP August P.M. 134.00 1.00 0.00 0.00 134.00 Enrollee Name: Elizabeth Lebedeva Fees Tax Discount Prey Paid r Pai Amount Due Activity Number: 406001 -04 OP Monthly Before /Af 182.00 0.00 182.00 0.00 0.00 Enrollment Date: 01/1112008 (Enrolled Transfer from 406008 -05 (OP Yearly AD(after))) Class Location: Orchard Park Elem Class Dates: 09/04/2007 to 09/29/2007 Orchard Park Element 2:30P to 6-OOP 10404 Orchard Park Drive South M,Tu,W,Th,F Indianapolis, IN 46280 (317)848 -7275 Scheduled Sessions: 19 Fee Details: Fee Description Am ount Count Discount Sales Tax Total Fee OP Sept. PM 182.00 1.00 0.00 0.00 182.00 Enrollee Name: Elizabeth Lebedeva Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 406001 -06 OP Monthly Before /Af 211.00 0.00 211.00 0.00 0.00 Enrollment Date: 01/11/2008 (Enrolled Transfer from 406008-08 (OP Yearly AD(after))) Page 1 ACTIVITY REFUND RECEIPT Receipt 84450 Payment Date: 01111/08 Household 2850 Class Location: Orchard Park Elem Class gates: 10/01/2007 to 11/02/2007 Orchard Park Element 2:30P to 6:00P 10404 Orchard Park Drive South M,Tu,W,Th,F Indianapolis, IN 46280 (317)848 -7275 Scheduled Sessions: 25 Fee Details: Fee Description Amou Count Discount Sales Tax Total Fee OP Oct. PM 211.00 1.00 0.00 0.00 211.00 Enrollee Name: Elizabeth Lebedeva Fees Tax Discount _Prey Paid Cur Paid Amount Due Activity Number. 406001 -08 OP Monthly Before /Af 172.00 0.00 172.00 0.00 0.00 Enrollment Date: 01/1112008 (Enrolled Transfer from 406008.11 (OP Yearly AD(after))) Class Location: Orchard Park Elem Class Dates: 11/05/2007 to 11/30/2007 Orchard Park Element 2:30P to 6:00P 10404 Orchard Park Drive South M,Tu,W,Th,F Indianapolis, IN 46280 (317)848 -7275 Scheduled Sessions: 20 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee OP Nov. PM 172.00 1.00 0.00 0.00 172.00 Enrollee Name: Elizabeth Lebedeva Fees Tax Discount Prey Paid _Cur Paid Amount Due Activity Number. 406001 -10 OP Monthly Before /Af 144.00 0.00 144.00 0.00 0.00 Enrollment Date: 01/11/2008 (Enrolled Transfer from 406008 -14 (OP Yearly AD(after))) Class Location: Orchard Park Elem Class Dates: 12/0312007 to 12/21/2007 Orchard Park Element 2:30P to 6:00P 10404 Orchard Park Drive South M,Tu,W,Th,F Indianapolis, IN 46280 (317)848 -7275 Scheduled Sessions: 15 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee OP Dec. PM 144.00 1.00 0.00 0.00 144.00 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 01/11/08 09:27:06 by JEH NET FROM/TO TRANSFER FEES 33.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 NET FROM/TO TRANSFER TAX 0.00 NET AMOUNT FROM CHANGED ITEMS' 33.00 TOTAL AMOUNT I E UNDED -33A0 NEW NET HOUSEHOLD BALANCE 0.00 Page #2 ACTIVITY REFUND RECEIPT Receipt 84450 Payment Date: 01111/08 Household 2850 Refund Type: Refund from Finance Refund of 33.00 Made By JOURNAL -RF With Reference Amount: 843.00 Payment Type: Activity Registration Credit Balance 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. V I -I( -a uiho d Signature Date Authorized Signature Date /Jeo 04 I 00 Io Page 3 ACTIVITY REFUND RECEIPT Receipt 84291 Payment Date: 01/11/2008 Household 2850 JAN 1 6 2008 Home Phone: (317)580 -9609 Work Phone: (317)688 2774 TATYANA LEBEDEVA Carmel Clay Parks&- Recreation. 10829 BELMONT CR. '1235 Central Drive.East INDIANAPOLIS, IN 46280 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 124.20 Enrollee Name: Elizabeth Lebedeva Fees Tax Discount Prey Paid Cur Paid Amount Due Activity Number: 406008 -17 OP Yearly AD(after) 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 12/20/2007 (Cancelled) Class Location: Orchard Park Elem Class Dates: 01/07/2008 to 02/01/2008 Orchard Park Element 2:30P to 6:OOP 10404 Orchard Park Drive South M,Tu,W,Th,F Indianapolis, IN 46280 (317)848 -7275 Scheduled Sessions: 20 G/L Code Description Account Nu mber Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 124.20 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 51.00 Processed on 01/11/08 08:52:22 by JEH FEES CHANGED ON CANCELLED ITEMS 175.20 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NETAMOUNT'FROM:CANCEGLED ITEMS 175020- HH BALANCE APPLIED TO THIS RECEIPT 51.00 TOTAL AMOUNT REFUNDED z124.20 NEW NET HOUSEHOLD BALANCE 0.00 Refund Type: Refund from Finance Refund of 124.20 Made By JOURNAL -RF With Reference t' Page 1 ACTIVITY REFUND RECEIPT Receipt 84291 Payment Date: 01/11/08 Household 2850 All refunds re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. j sh or credit card refunds. thorized 'nature Date Authorized Signature Date 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. a Payee Purchase Order No. Tatyana Lebedeva Terms 10829 Belmont Cr. Date Due Indianapolis, IN 46280 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/11/08 84291 Refund 124.20 1/11/08 84450 Refund 33.00 Total 157.20 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. Tatyana Lebedeva Allowed 20 10829 Belmont Cr. Indianapolis, IN 46280 In Sum of 157.20 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1046 84291 4358400 124.20 1 hereby certify that the attached invoice(s), or 1046 84450 4358400 33.00 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 16 -Jan 2007 Sign r 157.20 Bu sin Se es Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund