160230 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361371 Page 1 of 1
g 0 ONE CIVIC SQUARE JULIE ALBERTS CHECK AMOUNT: $24.00
s CARMEL, INDIANA 46032 1161 HELFORD LN
CARMEL IN 46032 CHECK NUMBER: 160230
CHECK DATE: 6/1012008
DEPARTMENT ACCOUNT PO NU MBER INVOICE N UMBER AM DESCRIPTION
1047 4358400 Y 123208 24.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 123208
Payment Date: 06/02/2008
Household 5971
Home Phone: (317)846 -9486
Work Phone:
JULIE ALBERTS Carmel Clay Parks Recreation
1161 HELFORD LANE 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 24.00
Enrollee Name: Emily Alberts Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186206 -01 Safety First 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/07/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room A Class Dates: 06/05/2008 to 06/26/2008
Monon Center 10:OOA to 11:OOA
Tn RECEIVED
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4 JUN 0 9 2008
Cancel Reason: low enrollment BY.
G/L 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 24.00 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 06/02/08 16:10:45 by CNA FEES CHANGED ON CANCELLED ITEMS 24.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 24.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 24.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 123208
Payment Date: 06/02/08
Household 5971
All refunds are subject to State Board of Accounts claim procedure and ma, e 4 -6 ee s to process. A check will be
issued. No cash or credit card refunds.
14 G� Cv- -0S ,l
Aut rized Signature Date A th i re D to
�C W1V D
JUN 0 9 2008
BY:
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.
Alberts, Julie Terms
1161 helford Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/08 123208 Refund 24.00
Total 24.00
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.
Alberts, Julie Allowed 20
1161 helford Lane
Carmel, IN 46032
In Sum of
24.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 jg3 �t)� 4358400 24.00 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
9 -Jun 2008
Signature
24.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund