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Home My WebLink About166396 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: T362193 Page 1 of 1 ONE CIVIC SQUARE BETH STAYER CHECK AMOUNT: $58.00 CARMEL, INDIANA 46032 9398 WINDRIFT WAY ZIONSVILLE IN 46077 CHECK NUMBER: 166396 CHECK DATE: 11/24/2008 DEPARTMENT ACCOUNT PO NUMBER INVO NUM BER AMOUNT DESCRIPTION 1047 4358400 201347 58.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Recei t 201347 Payme *nt Date: 11/14/2008 Household 19336 Home Phone: (317)769 -2102 NOV Work Phone: zQ�$ BETH STAYER Monon Center 9398 WINDRIFT WAY Carmel IN 46032 ZIONSVILLE IN 46077 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 58.00 Enrollee Name: Carson Stayer Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 283004 -16 Minnow 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 09/26/2008 (Cancelled) Class Location: Indoor Leisure Pool Class Dates: 11/17/2008 to 12/17/2008 Monon Center 4:15P to 4:45P M,W Carmel, IN 46032 Skip Days 11/24/2008, 11/26/2008 (317)848 -7275 Scheduled Sessions: 8 Fee Details: Fee Description Amount Count Discount Sales T ax Total Fee Minnow Resident 7.00 1.00 0.00 0.00 7.00 Cancel Reason: Parent changed mind. 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 58.00 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 11/14/08 13:23:45 by ALC FEES CHANGED ON CANCELLED ITEMS 65.00 DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES O 7.00 NET: °AMOUNT =FROM CANCELL "EA ir 58x10 TOTAL "AMOUNT:REF'UNDEO 56:00,' NEW NET HOUSEHOLD BALANCE 0.00 Refund of 58.00 Made By REFUND FINAN With Reference Page 9 1 ACTIVITY REFUND RECEIPT Receipt 201347 Payment Date: 11/14/2008 Household 19336 All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to proce s. A check will be iss ed. No cash Jr credit card refunds. Authorize S,' nature bate 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. Payee Purchase Order No. Stayer, Beth Terms 9398 Windrift Way Date Due Zionsville, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/14/08 201347 Refund 58.00 Total 58.00 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. Stayer, Beth Allowed 20 9398 Windrift Way Zionsville, IN 46077 In Sum of$ 58.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 201347 4358400 58.00 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 19 -Nov 2008 Signature 58.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund