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Home My WebLink About161230 07/08/2008 CITY OF CARMEL, INDIANA VENDOR. T361504 Page 1 of 1 ONE CIVIC SQUARE BRADLEY SHAFFER CHECK AMOUNT: $45.00 CARMEL, INDIANA 46032 10226 BOSLOE DR CARMEL IN 46032 CHECK NUMBER: 161230 CHECK DATE: 718/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 143922 45.00 REFUNDS AWARDS INDE i i ry 1 f r 'r ACTIVITY REFUND RECEIPT Receipt 143922 Payment Date: 07/02/2008 Household 14284 Home Phone: (317)879 -1005 Work Phone: (317)433 -2940 BRADLEY SHAFFER Carmel Clay Parks Recreation 10226 BOSLOE DR 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 45.00 Enrollee Name: Mackenzie Shaffer Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 386331 -01 Cheer /Pom 4 Weeks 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 02/01/2008 (Cancelled) Primary Instructor: Tumble Time .Class Location: Gymnasium C Class Dates: 02/06/2008 to 02/27/2008 Monon Center 5:OOP to 6:OOP W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 JUL 0 3 2008 Cancel Reason: low enrollment G(L Code Description Ac count Number Cst Cnlr Descripti Ac count Numb Amo 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 45.00 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 87.00 Processed on 07(02/08 15:36:13 by BJC FEES CHANGED ON CANCELLED ITEMS 45.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 45.00- TOTAL AMOUNT REFUNDED 45.00 NEW NET HOUSEHOLD BALANCE 87.00 Refund of 45.00 Made By REFUND FINAN With Reference low enrollment Page 1 r ACTIVITY REFUND RECEIPT Receipt 14392.2 Payment Date: 07/02/08 Household 14284 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 0, JUL 0 3 2008 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. Payee Purchase Order No. Shaffer, Bradley Terms 10226 Bosloe Dr. Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoices) or bill(s)) Amount 45.00 7!2108 143922 Refund Total 45.00 I hereby certify that the attached invoice(s), or bill($) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 1 20 Clerk- Treasurer