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Home My WebLink About167797 01/20/2009 CITY OF CARMEL, INDIANA VENDOR: T362369 Page 1 of 1 ONE CIVIC SQUARE KAY YOKOTA It CARMEL, INDIANA 46032 1434 CAREY ST CHECK AMOUNT: $49.00 CARMEL IN 46032 CHECK NUMBER: 167797 roa a CHECK DATE: 1/20/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 215958 .49.00 REFUNDS AWARDS INDE t.' d ACTIVITY REFUND RECEIPT Receipt 215958 Payment Date: 01/07/2009 Household 3768 Home Phone: (317)575 -9167 Work Phone: .JAN 2 2009 KAY YOKOTA Monon Center 1434 CAREY CT Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax I D #35- 6000972 Enrollment Details Enrollee Name: Amy Yokota Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 394319 -01 Amazing Abs 16.00 0.00 0.00 16.00 0.00 Enrollment Date: 01107/2009 (Enrolled Transfer from 394317 -01 (Cross Trainer)) Primary Instructor: CCPR Staff Class Location: Dance Studio Class Dates: 01/05/2009 to 01/26/2009 Monon Center 5:30P to 5:55P M Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Fee Details: Fee Description A mount C ount Discount Sales T ax Total Fee Amazing Ab 16.00 1.00 0.00 0.00 16.00 Enrollee Name: Amy Yokota Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 394319 -03 Amazing Abs 16.00 0.00 0.00 16.00 0.00 Enrollment Date: 01107/2009 (Enrolled Transfer from 394317 -05 (Cross Trainer)) Primary Instructor: CCPR Staff Class Location: Dance Studio Class Dates: 02/02/2009 to 02/23/2009 Monon Center 5:30P to 5:55P Carmel, IN 46032 M (317)848 -7275 Scheduled Sessions: 4 Fee Details: Fee Description Amount Count Discount S ales Tax Total F ee Amazing Ab 16.00 1.00 0.00 0.00 16.00 Page 1 ACTIVITY REFUND RECEIPT Receipt 215958 Payment Date: 01/07/2009 Household 3768 Enrollee Name: Amy Yokota Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number. 394319 -05 Amazing Abs 20.00 0.00 0.00 20.00 0.00 Enrollment Date: 01/07/2009 (Enrolled Transfer from 394317 -09 (Cross Trainer)) Primary Instructor: CCPR Staff Class Location: Dance Studio Class Dates: 03102/2009 to 03/30/2009 Monon Center 5:30P to 5:55P Carmel, IN 46032 M (317)848 -7275 Scheduled Sessions: 5 Fee Details: Fee Descri Count Discount Sal Tax Total Fee Amazing Ab 20.00 1.00 0.00 0.00 20.00 Enrollee Name: Amy Yokota Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 394319 -07 Amazing Abs 12.00 0.00 0.00 12.00 0.00 Enrollment Date: 01/07/2009 (Enrolled Transfer from 394317 -13 (Cross Trainer)) Primary Instructor: CCPR Staff Class Location: Dance Studio Class Dates: 04/13/2009 to 04/27/2009 Monon Center 5:30P to 5:55P M Carmel, IN 46032 Skip Days 04/06/2009 (317)848 -7275 Scheduled Sessions: 3 Fee Details: Fee Des Amount Discount Sales T ax Total Fee Amazing Ab 12.00 1.00 0.00 0.00 12.00 G/L Code Descri Account Num Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 49.00 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 01 /07 /09 16:09:09 by CEK FEES ADJUSTED ON CHANGED ITEMS 49.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 NET FROM/TO TRANSFER TAX 0.00 NET AMQUNT,?F,ROM CHANGED:ITEMS 49:00= TOTAL,AMOUNTREFUNDED '49'00') NEW NET HOUSEHOLD BALANCE 0.00 Refund of 49.00 Made By REFUND FINAN With Reference cls transfer diff Page 2 ACTIVITY REFUND RECEIPT. Receipt 215958 Payment Date: 09/07/2009 Household 3768 Payment of 64.00 Made. By Activity Registration Credit Balance Rewards Points refunded on this receipt: 6.40 Household Reward Point Balance: 35.20 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. 00.z.t.tQ� r r Authorized Signature Date Authorized Signature bate y 7, 3 q D. 3 u,J. ql 35 q crj 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. Yokota, Kay Terms 1434 Carey Ct Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/7/09 215958 Refund 49.00 Total 49.00 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 ,20 Clerk- Treasurer Voucher No. Warrant No. Yokota, Kay Allowed 20 1434 Carey Ct Carmei, IN 46032 In Sum of 49.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1047 215958 4358400 49.00 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 15 -Jan 2009 Signature 49.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund