160757 06/25/2008 a CITY OF CARMEL, INDIANA VENDOR: T361450 Page 1 of 1
ONE CIVIC SQUARE CHRISTINA BARKER
CHECK AMOUNT: $443.00
CARMEL, INDIANA 46032 7058 BLUE RIDGE DR
NOBLESVILLE IN 46062 CHECK NUMBER: 160757
CHECK DATE: 6/25/2008
DEPARTMENT ACCO PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 443.00 REFUNDS AWARDS INDE
I
I
Y r` ACTIVITY REFUND RECEIPT
&r►.H�r► e�Ll
Receipt 130139
Payment Date: 06/12/2008
Household 16831
Home Phone: (317)774 -1210
Work Phone: (317)578 -6647 FY- �T--
CHRISTINA BARKER Monon Center JUN 1 T 2pp$
7058 BLUE RIDGE DR. Carmel IN 46032
NOBLESVILLE IN 46062.
Phone: (317)848 -7275
Fed Tax I D #35- 6000972
Enrollment Details
CANCELLATION Refund Of 143.00
Enrollee Name: Nicolas Preissler Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476006 -04 Science of Summer 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 03/2112008 (Cancelled)
Class location: Orchard Park Elem Class Dates: 06/23/2008 to 06/27/2008
Orchard Park Element 8:30A to 3:30P
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 5
Fee Details: Fee Description Amount Count Dis count Sales Tax Total Fee
Science of Summer No 7.00 1.00 0.00 0.00 7.00
Cancel Reason: child felt as though science camp was too similar to school
CANCELLATION Refund Of 150.00
Enrollee Name: Nicolas Preissler Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476006 -06 Science of Summer 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03121/2008 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 07/07/2008 to 07/11/2008
Orchard Park Element 8:30A to 3:30P
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 5
Cancel Reason: child felt as though science camp was too similar to school
CANCELLATION Refund Of 150.00
Enrollee Name: Nicolas Preissler Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476006 -08 Science of Summer 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/21/2008 (Cancelled)
Page 1
ACTIVITY REFUND RECEIPT
0
soLkr o�Lo c��® Receipt# 130139
o Lk r1` i i o L1-+ 7 o allayment Date: C LL_ 06/12/08
Household oLk�§o�a Lo
Class Location: Orchard Park Elem Class Dates: 07/21/2008 to 07125/2008
Orchard Park Element 8:30A to 3:30P
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 5
Cancel Reason: child felt as though science camp was too similar to school
GIL Code Description Account Number Cst Cntr Descri 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 0.00
Processed on 06/12/08 16:29:22 by BJJ FEES CHANGED ON CANCELLED ITEMS 450.00
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 7.00
NET AMOUN T.FROM�CANCELLED ,"ITEMS' X443:00
!TOTALAMOUNT;REFUNDED„
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 443.00 Made By JOURNAL -RF With Reference
All refund are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. cash or credit card refunds.
tho Signature Date Authorized Signature Date
v 1
S
Page 2
ACCOUNTS PAYABLE VOUCHER
r— .s
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.
Barker, Christina Terms
7058 Blue Ridge Dr. Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6!12!08 130139 Refund 443.00
Total 443.00
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.
Barker, Christina Allowed 20
7058 Blue Ridge Dr.
Noblesville, IN 46062
In Sum of$
443.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 130139 4358400 443.00 i 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 2008
J2 lvllj Q/L!2z m M
Signature
443.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund