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Home My WebLink About164800 10/16/2008 F CITY OF CARMEL, INDIANA VENDOR: T361995 Page 1 of 1 ONE CIVIC SQUARE BRAD KRACHT 0 CARMEL, INDIANA 46032 2752 MUSTANG CHASE DRIVE CHECK AMOUNT: $200.00 WESTFIELD IN 46074 CHECK NUMBER: 164800 CHECK DATE: 10/16/2008 DEPA ACCOUNT PO N UMBER INVOI CE,NUMBER AMOUNT DESCRI -1046 4358400 200.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 192206 Payment Date: 10/06/2008 U. CEIVEID Household 14616 Home Phone: (317)843 -0882 OCT 0 R 2008 Work Phone: BY: BRAD KRACHT Monon Center 2152 MUSTANG CHASE DRIVE Carmel IN 46032 WESTFIELD IN 46074 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details ROSTER CHANGE Refund Of 20.00 Enrollee Name: Molly Kracht Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 486031 -03 Hip Hop 20.00 0.00 20.00 0.00 0.00 Enrollment Date: 08/16/2008 (Enrolled) Class Location: College Wood Elem Class Dates: 09/03/2008 to 09/24/2008 College Wood Element 2:45P to 3:45P 12415 Shelbourne Road W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee DoodleBugz Tumble 20.00 1.00 0.00 0.00 20.00 ROSTER CHANGE Refund Of 20.00 Enrollee Name: Molly Kracht Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 486033 -03 Tumbling 20.00 0.00 20.00 0.00 0.00 Enrollment Date: 08/16/2008 (Enrolled) Class Location: College Wood Eiem Class Dates: 10/29/2008 to 11/19/2008 College Wood Element 2:45P to 3:45P 12415 Shelbourne Road W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee DoodleBugz Tumble 20.00 1.00 0.00 0.00 20.00 ROSTER CHANGE Refund Of 20.00 Enrollee Name: Thor Kracht Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 486031 -03 Hip Hop 20.00 0.00 20.00 0.00 0.00 Enrollment Date: 08/16/2008 (Enrolled) Page 1 ACTIVITY REFUND RECEIPT Receipt 192206 Payment Date: 10/06/2008 Household 14616 Class Location: College Wood Elem Class Dates: 09/03/2008 to 09/24/2008 College Wood Element 2:45P to 3:45P 12415 Shelbourne Road W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee DoodleBugz Tumble 20.00 1.00 0.00 0.00 20.00 ROSTER CHANGE Refund Of 20.00 Enrollee Name: Thor Kracht Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 486033 -03 Tumbling 20.00 0.00 20.00 0.00 0.00 Enrollment Date: 08/16/2008 (Enrolled) Class Location: College Wood Elem Class Dates: 10/29/2008 to 11/19/2008 College Wood Element 2:45P to 3:45P 12415 Shelbourne Road W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee DoodleBugz Tumble 20.00 1.00 0.00 0.00 20.00 G/L Code Descri Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 200.00 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 CREDIT HOUSEHOLD BALANCE 55.00 Processed on 10/06/08 10:44:44 by BJJ FEES ADJUSTED ON CHANGED ITEMS 80.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 SALES TAX CHARGED ON CHANGED FEES 0.00 NET=AMOUNT FRO MX HANGED" ITEMS HH BALANCE APPLIED TO THIS RECEIPT 120.00- TOTAI AMQUNT REFUNDED,:.,,r,- 200.00 NEW NET HOUSEHOLD BALANCE 65.00 Refund of 200.00 Made By REFUND FINAN With Reference Page 2 ACTIVITY REFUND RECEIPT Receipt 192206 Payment Date: 10/06/2008 Household 14616 All refunds re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. N ash or credit card refunds. A hori ignature Date Authorized Signature Date 4 qqO O� Z TVFID R 2008 Page 3 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. Kracht, Brad Terms 2152 Mustang Chase Drive Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1016108 192206 Refund 200.00 Total 200.00 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. Kracht, Brad Allowed 20 2152 Mustang Chase Drive Westfield, IN 46074 In Sum of IX 200.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 192206 4358400 200.00 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 8 -Oct 2008 �?1 �n0Yr-) Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund