164788 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: T361994 Page 1 of 1
h ONE CIVIC SQUARE TODD JONES CHECK AMOUNT: $117.00
t CARMEL, INDIANA 46032 6680 REGENTS PARK DR
ZIONSVILLE IN 46077 CHECK NUMBER: 164788
o o
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUN DESCRIPTION
1047 4358400 159083 117.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
I
Receipt 159083 Payment Date: 07/22/2008 Household 19245
Home Phone: (317)882 -5712 Work Phone:
B
TODD JONES Monon Center
6680 REGENTS PARK DR. Carmel IN 46032
ZIONSVILLE IN 46077
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 52.00
Enrollee Name: Connor Jones Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 183005 -08 Polliwog Level 1 6.50 0.00 0.00 6.50 0.00
Enrollment Date: 07/2112008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 2 Class Dates: 07/21/2008 to 08/01/2008
Monon Center 5:OOP to 5:45P
M,Tu,W,Th,F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Fee Details: Fee Description Amount Cou Discount Sales Tax Total Fee
Polliwog 6.50 1.00 0.00 0.00 6.50
Cancel Reason: wants to wait until fall lessons begin AC
CANCELLATION Refund Of 65.00
Enrollee Name: Allison Jones Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 183005 -08 Polliwog Level 1 6.50 0.00 0.00 6.50 0.00
Enrollment Date: 0712112008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 2 Class Dates: 07/21/2008 to 08/01/2008
Monon Center 5:OOP to 5:45P
M,Tu,W,Th, F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Fee Details: Fee Description Amount Count Discount S ales Tax Total Fee
.polliwog 6.50 1.00 0.00 0.00 6.50
Cancel Reason. wants to wait until fall lessons begin AC
Page 1
ACTIVITY REFUND RECEIPT
Receipt 159083
Payment Date: 07/22/08
Household 19245
GIL Code Description Account Number Cst Cn tr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 117.00 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 07/22/08 11:52:56 by ALC FEES CHANGED ON CANCELLED ITEMS 130.00
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 13.00
NET °AMOUNT FROM GANCELLED'ITEMS w 1 117x 6
TOTAL'AMOUNT.REFUNDED ,2� 1.17 00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 117.00 Made By REFUND FINAN With Reference
I refunds are subject o State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
i ed. No cash or cre it rd refunds. Iry I A, e��
Nqra- uthor+a Sig ature, Date Authorized Signature Date
Z-1 3SC)
�6(M_A LLIL) klLj L CL
c Page 9 2
aACA_ i s
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
1
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.
Jones, Todd Terms
6680 Regents Park Dr Date Due
Zionsville, In 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7122108 l6g093 Refund 117.00
Total 117.00
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.
Jones, Todd Allowed 20
6680 Regents Park Dr
Zionsville, In 46077
In Sum of
117.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1047 4358400 117.00 1 hereby certify that the attached invoice(s), or
r I083 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
7 -Oct 2008
Signature
117.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund