HomeMy WebLinkAbout174102 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362977 Page 1 of 1
ONE CIVIC SQUARE JOE WESTERKAMM
o CARMEL, INDIANA 46032 13515 DUNES DRIVE CHECK AMOUNT: $293.00
CARMEL IN 46032 CHECK NUMBER: 174102
CHECK DATE: 6/24/2009
13EP ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 293.00 PARKS DEPARTMENT REFU
1 -.Y
ACTIVITY REFUND RECEIPT
Receipt 272305, 4
Payment Date: 06/09120091
Household 14544 I
Home Phone: (317)581 -9025 JUN 1 0 2009
Work Phone: (317)230 -6053
]BY:
JOE WESTERKAMM Monon Center
13515 DUNES DR. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 168.00
Enrollee Name: Ben Westerkarnm Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476009 -09 Skyhawks Sports 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/12/2009 (Cancelled)
Class Location: Smoky Row Elem Class Dates: 06/22/2009 to 06/26/2009
Smoky Row Elementary 9:OOA to 3:00P
900 West 136th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Fee Details: Fee Descri Amount Count Discount Sales Tax Total Fee
Skyhawks Sports Resi 7.00 1.00 0.00 0.00 7.00
Cancel Reason: camper has broken leg cannot participate in camp
CANCELLATION Refund Of 125.00
Enrollee Name: Ben Westerkamm Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476009 -20 Skyhawks Sports 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/12/2009 (Cancelled)
Class Location: Smoky Row Elem Class Dates: 07/1312009 to 07/17/2009
Smoky Row Elementary 9:OOA to 12:OOP
900 West 136th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason camper has broken leg cannot participate in camp
G /L Code Descri Accou N Cst Cntr Descriptio Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 293.00 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# 272305
Payment Date: 06/09/2009
Household 14544
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/09/09 15:14:49 by BJJ FEES CHANGED ON CANCELLED ITEMS 300.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED ITEMS 293.00
TOTAL AMOUNT REFUNDED 293.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 2 ade By REFUND FINAN With Reference
All ref ds are State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check wi I be
issu No cash or credit card refunds.
7
L Au rized Signature Date Authorized Signature Date
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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.
Westerkamm, Joe Terms
13515 Dunes Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/9/09 272305 Refund 293.00
Total 293.00
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.
Westerkamm, Joe Allowed 20
13515 Dunes Dr
Carmel, IN 46032
In Sum of
293.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1046 272305 4358400 293.00 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
18 -Jun 2009
Signature
293.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund