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Home My WebLink About174115 06/24/2009 R CITY OF CARMEL, INDIANA VENDOR: 362978 Page 1 of 1 ONE CIVIC SQUARE SUSAN WHITESIDE 4 CARMEL, INDIANA 46032 13700 MoNIauE DRIVE CHECK AMOUNT: $443.00 r a g WESTFIELD IN 46074 CHECK NUMBER: 174115 CHECK DATE: 6124/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4358400 443.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT *U®rq'O'H& O Rdseipt 273059 Payment Date: 06/11 /2009 Y soon z t �nr Household 6313 h �l Home Phone: (317)733 2358.. E a Work Phone: (317)571 -4576 SUSAN WHITESIDE Monon Center 13700 MONIQUE DRIVE Carmel IN 46032 WESTFIELD IN 46074 JUN 1 1 2009 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 )L T'. Enrollment Details CANCELLATION Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -37 Vacation Station 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 06/11/2009 (Cancelled) Class Location: College Wood Elem Class Dates: 07/13/2009 to 07/17/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Vacation Station Res 7.00 1.00 0.00 0.00 7.00 Cancel Reason: parent/guardian change in employment status CANCELLATION Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -38 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06/11/2009 (Cancelled) Class Location: College Wood Elem Class Dates: 07/20/2009 to 07/24/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel IN 46032 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: parent/guardian change in employment status CANCELLATION Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -39 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06/11/2009 (Cancelled) Page 1 TLp *X Bk IsNiIA<N►= M E+?<2 ACTIVITY REFUND <13! R i 4 i 4 §off nor +n ram ?i i r y s 1= i i v Receipt 273059 Payment Date: 06/11/2009 Household 6313 Class Location: College Wood Elem Class Dates: 07/27/2009 to 07/31/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: parent/guardian change in employment status CANCELLATION Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -40 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 03/20/2009 (Cancelled) Class Location: College Wood Elem Class Dates: 06/01/2009 to 07/31/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 45 (317)848 -7275 Cancel Reason: parent/guardian change in employment status CANCELLATION Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -37 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06/11/2009 (Cancelled) Class Location: College Wood Elem Class Dates: 07/13/2009 to 07/17/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: parent/guardian change in employment status CANCELLATION Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -38 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06111/2009 (Cancelled) Class Location: College Wood Elem Class Dates: 07/20/2009 to 07/24/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: parent/guardian change in employment status Page 2 ACTIVITY REFUND RECEIPT Receipt 273059 Payment Date: 06/11/2009 Household 6313 CANCELLATION Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -39 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06/11/2009 (Cancelled) Class Location: College Wood Elem Class Dates: 07/27/2009 to 07/31/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Cancel Reason: parent/guardian change in employment status CANCELLATION Refund Of 443.00 Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -40 Vacation Station 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 03/20/2009 (Cancelled) Class Location: College Wood Elem Class Dates: 06/01/2009 to 07/31/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 45 (317)848 -7275 Cancel Reason: parent/guardian change in employment status The following item reflects a payment towards a previous receipt Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -31 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Class Location: College Wood Elem Class Dates: 06/01/2009 to 06/05/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -32 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Page #3 ACTIVITY REFUND RF ►c;�L-L 7 o» �a o c HxoLkr .j/ aLo c t l►MS P Receipt 273059 Payment Date: 06/11/2009 Household 6313 Class Location: College Wood Elem Class Dates: 06/08/2009 to 06/12/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -33 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Class Location: College Wood Elem Class Dates: 06/15/2009 to 06/19/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount C ount Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -34 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/1112009 (Enrolled) Class Location: College Wood Elem Class Dates: 06/22/2009 to 06/26/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -35 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Page 4 ACTIVITY REFUND RECEIPT rd Receipt 273059 Payment Date: 06/11/2009 Household 6313 Class Location: College Wood Elem Class Dates: 06/29/2009 to 07/03/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road 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 Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Taylor Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -36 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Class Location: College Wood Elem Class Dates: 07/06/2009 to 07/10/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -31 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Class Location: College Wood Elem Class Dates: 06/01/2009 to 06/05/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Descri Amount Count Discount S ales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -32 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Page 5 ACTIVITY REFUND RECEIPT Receipt 273059 Payment Date: 06/11/2009 Household 6313 Class Location: College Wood Elem Class Dates: 06/08/2009 to 06/12/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road 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 Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -33 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Class Location: College Wood Elem Class Dates: 06/15/2009 to 06/19/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -34 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Class Location: College Wood Elem Class Dates: 06/22/2009 to 06/26/2009 College Wood Element TOOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount C ount Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -35 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Page 6 ACTIVITY REFUND RECEIPT Receipt# 273059 Payment Date: 06/11/2009 Household 6313 Class Location: College Wood Elem Class Dates: 06/29/2009 to 07/03/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level The following item reflects a payment towards a previous receipt Enrollee Name: Tia Whiteside Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476001 -36 Vacation Station 150.00 0.00 0.00 150.00 0.00 Enrollment Date: 06/11/2009 (Enrolled) Class Location: College Wood Elem Class Dates: 07/06/2009 to 07/10/2009 College Wood Element 7:OOA to 6:OOP 12415 Shelbourne Road M,Tu,W,Th,F Carmel, IN 46032 Scheduled Sessions: 5 (317)848 -7275 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Vacation Station Res 150.00 1.00 0.00 0.00 150.00 Special Questions: Child's T -Shirt Size Child's Swimming Level 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 443.00 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 2,700.00 Processed on 06/11/09 10:03:49 by BJJ FEES CHANGED ON CANCELLED ITEMS 3,150.00 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 3 FEES ADJUSTED ADJUSTED ON CHANGED ITEMS 0.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 SALES TAX CHARGED ON CHANGED FEES 0.00 NET AMOUNT FROM CHANGED ITEMS 0.00 HH BALANCE APPLIED TO THIS RECEIPT 0,00 OC) I V TOTAL AMOUNT REFUNDED Z 443.00 `D O1 Page 7 ACTIVITY REFUND RECEIPT 4u y &C[T +N►r +IMTMI- +q9C- PjPtj► <.4 T9 <Ai9A$9@A$ Payment Date: 6/ /2009 Household 6313 NEW NET HOUSEHOLD BALANCE 0.00 Refund of ade By REFUND FINAN With Reference Payment of 1,800.00 Made By Activity Registration Credit Balance All refund a subject to State Boar ccounts claim procedure and may take 4 -6 weeks to process. 6��h cill be issued. o ash or credit car unds. thori Signature Date Authorized Signature Date �S 00 oco� Page 8 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. Whiteside, Susan Terms 13700 Monique Drive Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6111109 273059 Refund 443.00 Total I 443.00 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. Whiteside, Susan Allowed 20 13700 Monique Drive Westfield, IN 46074 In Sum of 443.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1046 273059 4358400 443.00 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 4 F Signature 443.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund