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Home My WebLink About163605 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T361822 Page 1 of 1 ONE CIVIC SQUARE AMANDA KALLNER CARMEL, INDIANA 46032 17751 VILLAGE BROOKE DR EAST CHECK AMOUNT: $71.75 NOBLESVILLE IN 46062 CHECK NUMBER: 163605 CHECK DATE: 9/17/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 185361 71.75 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 185359 C'FIVE D Payment Date: 09/03/2008 Household 21346 S E P 0 8 Home Phone: (703)953 -1435 2008 Work Phone: BY: AMANDA KALLNER Monon Center 17751 VILLAGE BROOKE DRIVE EAST Carmel IN 46032 NOBLESVILLE IN 46062 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 71.75 Enrollee Name: Abigail Kallner Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 286121 -01 Mom -n -Me Gymnastics 18.25 0.00 0.00 18.25 0.00 Enrollment Date: 08/18/2008 (Cancelled) Primary Instructor: Tumble Time Class Location: Gymnasium C Class Dates: 09/02/2008 to 10/21/2008 Monon Center 10:30A to 11:OOA Tu Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 8 Fee Details: Fee De Amount Count Di scount Sales Tax Total Fee Mom -ne -Me Gymnastics 18.25 1.00 0.00 0.00 18.25 Cancel Reason: child did not enjoy the class prorated $7 surcharge PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 09/03/08 09:52:03 by CNA FEES CHANGED ON CANCELLED ITEMS 90.00- DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 18.25 NET AMOUNT. FROM CANCELLED.ITEMS 71.75• TOTAL AMOUNT REFUNDED 71.75 NEW NET CREDIT HOUSEHOLD BALANCE 71.75 Refund of 71.75 Made By SYSTEM -GL With Reference child didn't like it Rewards Points refunded on this receipt: 1.83 Household Reward Point Balance: 1.83 Page 1 ACTIVITY REFUND RECEIPT Receipt 185361 Payment Date: 09/03/2008 71SEP CFITVE+ D Household 21346 Home Phone: (703)953 -1435 0 8 2008 Work Phone: BY: AMANDA KALLNER Monon Center 17751 VILLAGE BROOKE DRIVE EAST Carmel IN 46032 NOBLESVILLE IN 46062 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Orio Bal Refund New Bal Module: Activity Registration 71.75- 71.75 0.00 G/L Code_ Description Account Number Csl Cnt_r DescCiption_____________ Account.Number A_ mount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 71.75 DR 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 71.75 Processed on 09/03/08 10:01:55 by CNA NEW REFUND AMOUNT 71.75 TOTAL REFUNDABLE AMOUNT 71.75 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 71.75 Made By REFUND FINAN With Reference child didn't like it 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 Date Authorized Signature Date y 30 0. y 35 (3y 0O o t;H-i) Page 1 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. Kallner, Amanda Terms 17751 Village Brooke Dr East Date Due Noblesville, IN 46062 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/3/08 185361 Refund 71.75 Total 71.75 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. Kallner, Amanda Allowed 20 17751 Village Brooke Dr East Noblesville, IN 46062 I n Sum of 71.75 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or Board Members Dept ept INVOICE NO. ACCT #/TITLE AMOUNT 1047 185361 4358400 71.75 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 9 -Sep 2008 Signature 71.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund