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Home My WebLink About17496 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: T357746 Page 1 of 1 ONE CIVIC SQUARE IFFATH KOKAN CHECK AMOUNT: $124.00 CARMEL, INDIANA 46032 5751 CANTIGNY WAY off `o CARMEL IN 46033 CHECK NUMBER: 174974 CHECK DATE: 7/22/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 124.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 268422 Payment Date: 06/03/2009 Household 11407 Home Phone: (317)574 -0459 Work Phone: (317)587 -3278 IFFATH KOKAN Monon Center 5751 CANTIGNY WAY N. Carmel IN 46032 CARMEL IN 46033 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 55.00 Enrollee Name: Aisha Kokan Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 195297 -01 Science Factory Jr. 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 05/28/2009 (Cancelled) Primary Instructor: Fun2Learn Class Location: Program Room C Class Dates: 06/11/2009 to 07/16/2009 Monon Center 10:00A to 11:OOA Th Carmel, IN 46032 Scheduled Sessions: 6 (317)848 -7275 Fee Details: Fe De scription Amount Co unt Discount _Sales Tax Total Fee Science Factory Jr. 7.00 1.00 0.00 0.00 7.00 Cancel Reason: schedule Conflict CANCELLATION Refund Of 69.00 Enrollee Name: Aisha Kokan Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 195298 -01 Techsmartkids Jr. 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 05/28/2009 (Cancelled) Primary Instructor: Fun2Learn Class Location: Program Room B Class Dates: 06/10/2009 to 07/15/2009 Monon Center 10:OOA to 11:OOA W Carmel, IN 46032 Scheduled Sessions: 6 (317)848 -7275 Fee Details: Fee Description Amount _Count_ Discount Sales Tax Total Fee_ Techsmartkids Jr. 7.00 1.00 0.00 0.00 7.00 Cancel Reason: schedule conflict Page 1 ACTIVITY REFUND RECEIPT Receipt 268422 Payment Date: 06/03/2009 Household 11407 G/L Code Description Accou Number Cst Cntr Descrip Ac count Nu mber Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 124.00 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 06/03/09 09:23:46 by CNA FEES CHANGED ON CANCELLED ITEMS 138.00 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 124:00- TOTAL AMOUNT REFUNDED "124.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 124.00 Made By REFUND FINAN With Reference schedule conflict Rewards Points refunded on this receipt: 1.40 Household Reward Point Balance: 60.60 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 ,boa 1 33(x U3sg40D 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. Kokan, Iffath Terms 5751 Cantigny Way N Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 613109 268422 Refund 124.00 Total 124.00 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. Kokan, Iffath Allowed 20 5751 Cantigny Way N 4± Carmel, IN 46033 In Sum of .e 124.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 268422 4358400 124.00 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 20 -Jul 2009 y2_11i2 Signature 124.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund