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Home My WebLink About172867 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 362903 Page 1 of 1 I ONE CIVIC SQUARE JEFFREY HITE CHECK AMOUNT: $135.00 CARMEL, INDIANA 46032 Bea N 500 w 'fox �a DECATUR IN 46733 CHECK NUMBER: 172867 CHECK DATE: 5/27/2009 DEPARTMENT n ACCOUNT PO NU MBER I NVOICE NUMBER AMOUNT DESCRI 1047 4358400 256444 135.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 256444 Payment Date: 05/0712009 Household 26313 Home Phone: (250)565 -4546 MAY Work Phone: 2009 J JEFFREY HITE Monon Center 888 N 500 W Carmel IN 46032 DECATUR IN 46733 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 45.00 Enrollee Name: Jeffrey Hite Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 397600 -01 Table Tennis Tournam 0.00 0 -00 0.00 EGO 0.00 Enrollment Date: 04/2912009 (Cancelled) Class Location: Gymnasium C Class Dates: 05/09/2009 to 05/09/2009 Monon Center 8:OOA to 7:OOP Sa Carmel, IN 46032 Scheduled Sessions: 1 (317)848 -7275 Add'i Locations: Gymnasium B Class Dates: 05!09/2009 Monon Center Meeting Times (Sa) 8:OOA to 7:OOP Carmel, IN 46032 3178487275 Add'I Locations: Gymnasium C Class Dates: 05/09/2009 Monon Center Meeting Times (Sa) 8:OOA to 7:00P Carmel, IN 46032 3178487275 Cancel Reason: low enrollment CANCELLATION Refund Of 45.00 Enrollee Name: Max Hite Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number. 397600 -01 Table Tennis Tournam 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04129/2009 (Cancelled) Class Location: Gymnasium C Class Dates: 05/09/2009 to 05/09/2009 Monon Center 8:00A to 7:OOP Sa Carmel, IN 46032 Scheduled Sessions. 1 (317)848 -7275 Add'I Locations: Gymnasium B Class Dates: 05/09/2009 Monon Center Meeting Times (Sa) 8:OOA to 7:OOP Carmel, IN 46032 3178487275 Page 1 ACTIVITY REFUND RECEIPT Receipt 256444 Payment Date: 05/07/2009 Household 26313 Add'I Locations: Gymnasium C Class Dates: 05109/2009 Morton Center Meeting Times (Sa) 8:OOA to 7:OOP Carmel, IN 46032 3178487275 Cancel Reason: low enrollment CANCELLATION Refund Of 45.00 Enrollee Name: Blaise Hite Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 397600 -01 Table Tennis Tournarn 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 04/29/2009 (Cancelled) Class Location: Gymnasium C Class Dates: 05/09/2009 to 05/09/2009 Monon Center 8:OOA to 7:OOP Sa Carmel, IN 46032 Scheduled Sessions: 1 (317)848 -7275 Add'I Locations: Gymnasium B Class Dates: 05/09/2009 Monon Center Meeting Times (Sa) 8:OOA to 7:OOP Carmel, IN 46032 3178487275 Add'l Locations: Gymnasium C Class Dates: 05/0912009 Monon Center Meeting Times (Sa) 8:OOA to 7:OOP Carmel, IN 46032 3178487275 Cancel Reason: low enrollment GIL Code Descri Acco Number Cst Cntr Descri A ccount Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 135.00 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 05/07109 09:40:46 by MML FEES CHANGED ON CANCELLED ITEMS 135.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 135.00 TOTAL AMOUNT REFUNDED 135.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 135.00 Made By REFUND FINAN With Reference low enrollment Page 2 ACTIVITY REFUND RECEIPT Receipt 256444 Payment Date: 05/07/2009 Household 26313 All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issh or c redit card refunds. �7/ horized Signature Date Authorized Signature Date Za Z� �5W 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. Hite, Jeffrey Terms 888 N 500 W Date Due Decatur, IN 46733 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 517109 256444 Refund 135.00 Total 135.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Hite, Jeffrey Allowed 20 '888 N 500 W Decatur, IN 46733 In Sum of y 135.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1047 256444 4358400 135.00 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 21 -May 2009 Signature 135.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund