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Home My WebLink About174044 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362975 Page 1 of 1 i., ONE CIVIC SQUARE JEFF SEIFERT CHECK AMOUNT: $25Q.00 CARMEL, INDIANA 46032 CHECK NUMBER: 174044 CHECK DATE: 6/2412009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 250.00 PARKS DEPARTMENT REFU ACTIVITY REFUND RECEIPT Receipt 264565. Payment Date: 05/27/2009 Household 20555% Home Phone: (31)733 -9722 JUN 8 Z�Q9 Work Phone: J ........................ JEFF SEIFERT Monon Center 13693 CUNNINGHAM DRIVE Carmel IN 46032 WESTFIELD IN 46074 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 125.00 Enrollee Name: Margaret Seifert Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number. 195243 -01 Etiquette for Little 0 -00 0.00 0.00 0.00 0 -00 Enrollment Date: 04/2212009 (Cancelled) Primary Instructor. Int Talent Academy Class Location: Program Room B Class Dates: 06/04/2009 to 07/30/2009 Monon Center 4:001P to 4:40P Th Carmel, IN 46032 Scheduled Sessions: 8 (317)848 -7275 Skip Days 07102/2009 Cancel Reason: low enrollment CANCELLATION Refund Of 125.00 Enrollee Name: Oliver Seifert Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number 195243-01 Etiquette for Little 0 -00 0.00 0.00 0 -00 0.00 Enrollment Date: 04/22/2009 (Cancelled) Primary Instructor. Int Talent Academy Class Location: Program Room B Class Dates: 06/04/2009 to 07/30/2009 Monon Center 4:00P to 4:40P Th Carmel, IN 46032 Scheduled Sessions: 8 (317)848 -7275 Skip Days 07/02/2009 Cancel Reason: low enrollment Page 1 ACTIVITY REFUND RECEIPT Receipt 264565 Payment Date: 05/27/2009 Household 20555 GIL Code Description Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 250.00 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 05/27/09 17:18:11 by CNA FEES CHANGED ON CANCELLED ITEMS 250.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT:F.ROWCANcELLED ITEMS 250.00- TOTAL'AMOUNT REFUNDED :'250:00' NEW NET HOUSEHOLD BALANCE 0.00 Refund of 250.00 Made By REFUND FINAN With Reference low enrollment 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. 6 at� AutKorized Signature Date Authorized Signature Date 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. Seifert, Jeff Terms 13693 Cunningham Dr Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5127109 264565 Refund 250.00 Total 250.00 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. Seifert, Jeff Allowed 20 13693 Cunningham Dr Westfield, IN 46074 In Sum of$ 250.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 264565 4358400 250.00 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 250.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund