155643 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 360718 Page 1 of 1
ONE CIVIC SQUARE JUDITH AYRES
CARMEL, INDIANA 46032 2092 HODGES DR CHECK AMOUNT: $10.00
INDPLS IN 46280 CHECK NUMBER: 155643
CHECK DATE: 1123/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 82309 10.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Recpipt 82309
Payrnent Date: 01/07/2008
Household 12822 I JAN' 1 4. j
Home Phone: (317)846 -7495
Work Phone: I �Z ctpP Vm
JUDITH AYRES Carmel Clay Parks Recreation
2092 HODGES DRIVE 1235 Central Park Drive East
INDIANAPOLIS, IN 46280 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 5.00
Enrollee Name: Judith Ayres Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 277006 -07 Senior Bingo 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 11/16/2007 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Computer Meeting R Class Dates: 12/13/2007 to 12/13/2007
Monon Center 1:OOP to 3:OOP
Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
cancel Reason: low enrollment
CANCELLATION Refund Of 5.00
Enrollee Name: Judith Ayres Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 277006 -08 Senior Bingo 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 11/16/2007 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Computer Meeting R Class Dates: 12/17/2007 to 12/17/2007
Monon Center 1:OOP to 3:OOP
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
G/L Code Description Account Number Cst C ntr Descri ption_____________ A ccount Number Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 10.00 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 82309
Payment Date: 01/07/08
Household 12822
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 01/07/08 17:20:25 by SAC FEES CHANGED ON CANCELLED ITEMS 10.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 10.00
TOTAL AMOUNT REFUNDED 10.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 10.00 Made By JOURNAL -RF With Reference low enrollment
All :funds are subject to State Board of Accounts claim procedure and may take 4 -6 eeks to process. A check will be
is ed. No cash or credit card refunds.
I
Authorized Signature Date Authorized Signatu re Datef
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.
Judith Ayres Terms
2092 Hodges Dr. Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/7/08 82309 Refund 10.00
Total 10.00
I 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.
Judith Ayres Allowed 20
2092 Hodges Dr.
Indianapolis, IN 46280
In Sum of
10.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 82309 4358400 10.00 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 v
which charge is made were ordered and
received except
16 -Jan 2008
Si tur
10.00 Business Se is Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund