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Home My WebLink About163000 08/20/2008 t CITY OF CARMEL, INDIANA VENDOR: T361701 Page 1 of 1 ye 4 ONE CIVIC SQUARE CHAD SUTHERLIN CHECK AMOUNT: $155.00 ro CARMEL, INDIANA 46032 530 W MAIN STREET APT A CARMEL IN 46032 CHECK NUMBER: 163000 CHECK DATE: 8/20/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 155.00 PARKS DEPARTMENT REFU i ACTIVITY REFUND RECEIPT Receipt 135475 �g Payment Date: 06/19/2008 Household 17474 8002 9 0 9fld Rome Phone: (317)581 -9294 Work Phone: (317) 120 CHAD SUTHERLIN Carmel Clay Parks Recreation 530 W. MAIN ST. APT A 1235 Central Park Drive East CARMEL IN 46032 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 AUG 0 6 2008 I CT. Enrollment Details CANCELLATION Refund Of 51.00 Enrollee Name: Ethan Sutherlin Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 183001 -03 Parent and Me 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/18/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: Indoor Lap Pool 1 Class Dates: 06/16/2008 to 06/26/2008 Monon Center 6:15P to 6:45P M,Tu,W,Th Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 8 Fee Details: Fee Description Amount C ount Discount Sales Tax Total Fee Parent and Me Reside 7.00 1.00 0.00 0.00 7.00 Cancel Reason: on wait list, was not notified, very upset CANCELLATION Refund Of 90.00 Enrollee Name: Ethan Sutherlin Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 185006 -01 Lil' Kickers Bunnies 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/18/2008 (Cancelled) Primary Instructor: Off the Wall Sports Class Location: Inlow Park Field Class Dates: 06/04/2008 to 08/06/2008 Inlow Park 9:30A to 10:20A 6310 E. 131st Street W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 10 Fee Details: Fee Descri Amount Count Discount Sales Tax Total Fee Jack Rabbits 7.00 1.00 0.00 0.00 7.00 Cancel Reason: on wait list was not notified, very upset Page 1 t ACTIVITY REFUND RECEIPT Receipt 135475 Payment Date: 06/19711,k Household 17474 �e l AUG 0: G coos V. G/L Code Description Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 141.00 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 06/19/08 18:16:58 by KLS FEES CHANGED ON CANCELLED ITEMS 155.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00 NET AMOUNT FROM „CANCELLED, ITEMS 141;007' T.OTAL�AMOUNTREFUNDED�,':' 141'AO NEW NET HOUSEHOLD BALANCE 0.00 Refund of 141.00 Made By JOURNAL -RF With Reference 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 3�Do 0o. 4'�Sgu (D 0 X9 0(:D Page 2 ACTIVITY REFUND RECEIPT Receipt 170870 Payment Date: 08/07/2008 Household 17474 Home Phone: (317)581 -9294 Work Phone: (317) CHAD SUTHERLIN Monon Center 530 W. MAIN ST. APT A Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 CEIVED Fed Tax ID #35- 6000972 AUG U 7 2008 -3Y: Enrollment Details CANCELLATION Refund Of 7.00 Enrollee Name: Ethan Sutherlin Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 183001 -03 Parent and Me 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/18/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: Indoor Lap Pool 1 Class Dates: 06/16/2008 to 06/26/2008 Monon Center 6:15P to 6:45P Carmel, IN 46032 M,Tu,W,Th (317)848 -7275 Scheduled Sessions: 8 cancel Reason: Refund Surcharge CANCELLATION Refund Of 7.00 Enrollee Name: Ethan Sutherlin Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 185006 -01 Lil' Kickers Bunnies 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/18/2008 (Cancelled) Primary Instructor: Off the Wall Sports Class Location: Inlow Park Field Class Dates: 06/04/2008 to 08/06/2008 Inlow Park 9:30A to 10:20A 6310 E. 131 st Street W Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 10 Cancel Reason: Refund Surcharge G/L Code Description Account N umber Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 14.00 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. Page 1 ACTIVITY REFUND RECEIPT Receipt 170870 Payment Date: 08/07/08 Household 17474 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 08/07/08 09:41:56 by TCP FEES CHANGED ON CANCELLED ITEMS 14.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED`ITEMS 14:00 TOTAL AMOUNT REFUNDED 14:00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 14.00 Made By REFUND FINAN With Reference Refund Surchage 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 Ll O (D L4 7. 00 VE AUG o 7 2008 BY: 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. Sutherlin, Chad Terms 530 W Main St. Apt A Date Due Carmel, I N 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/19/08 135475 Refund 141.00 8/7/08 170870 Refund 14.00 Total 155.00 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 20_ Clerk- Treasurer Voucher No. Warrant No. Sutherlin, Chad Allowed 20 530 W Main St. Apt A Carmel, IN 46032 In Sum of 155.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 135475 4358400 141.00 1 hereby certify that the attached invoice(s), or 1047 170870 4358400 14.00 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 14 -Aug 2008 k m ymlm ah Signature 155.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund