157392 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: T360989 Page 1 of 1
ONE CIVIC SQUARE JASON BARNES
CARMEL, INDIANA 46032 CHECK AMOUNT: $90.00
13235 TANZANITE CIRCLE
Nco CARMEL IN 46033 CHECK NUMBER: 157392
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU D ESC R IPTION
lW47 4358400 90.00 PARKS DEPARTMENT REFU
FACILITY REFUND RECEIPT
1
Receipt 98875
Pay nent';Oate: 03/07/2008 RECEIVEC
Hou';Phold 8570 j
Home Phone: (317)569 -0173 MAR 1 o 2008
Work Phone:
�3Y:�15
BARNES Carmel Clay Parks Recreation
13235 TANZANITE CIRCLE 1235 Central Park Drive East
CARMEL, IN 46033 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Facility Reservation Details
CANCELLATION Refund Of 60.00
Facility: Morton Center, Gymnasium B
Reserv. Contact Jason Barnes, (317)569 0173
Reserv. Number: 3615 Status: Cancelled
Date Day Time Fees Tax Discount Prev Paid Cur Paid Amount Due
02/21/2008 Thu 7:OOP to 8:OOP 0.00 0.00 0.00 0.00 0.00
Purpose: bball practice
Cancel Reason: We had to cancel out due to scheduling conflict.
RESERVATION CHANGE Refund Of 30.00
Facility: Morton Center, Gymnasium C
Reserv. Contact: Jason Barnes, (317)569 -0173
Reserv. Number: 3615 Status: Firm
Date Day Time Fees Tax Discount Prev Paid Cur Paid Amount Due
02/28/2008 Thu 6:OOP to 7:OOP 30.00 0.00 30.00 0.00 0.00
Fee Details: Fee Descript Amount Count Discount Sales Tax Total Fee
(First Date Only) Gym -Court Resident 30.00 1.00 0.00 0.00 30.00
Purpose: bball practice
G/L Code Descripti Acco Number Cs Cntr Descript Accou nt_Numbe r A mount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 90.00 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 03/07/08 13:11:03 by JLG FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT,F.ROM CANCELLED ITEMS 60.00
FEES ADJUSTED ON CHANGED ITEMS 30.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
Page 1
FACILITY REFUND RECEIPT
r receipt 98875
Payment Date: 03/07/08
Household 8570
v
SALES TAX CHARGED ON CHANGED FEES 0.00
i NET AMOUNTIFROM CHANGED ITEMS" '30.00-
DEPOSITNISIT AMOUNT REFUNDED 0.00
TOTAL AMOUNT REFUNDED 90.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 90.00 Made By JOURNAL -RF With Reference
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.
The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are
left at zero fo�L"eruatic n purposes, but will be updated after the reservation date. As soon as this data is available, you will
be invo' of r, he current am nt due. Please remit to our office within 10 days of the invoice date.
Au
tho Sic re Date Authorized Signature Date
3 Up j cy -I
Page #2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
E'
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.
Jason Barnes Terms
13235 Tanzanite Circle Date Due
Carmel, IN 46033
lnv6ice7 Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
317108 98875 Refund 90.00
Total 90.00
E 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
-do..
Voucher No. Warrant No.
Jason Barnes Allowed 20
13235 Tanzanite Circle
Carmel, IN 46033
In Sum of
90.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 98875 4358400 90.00 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
10 -Mar 2008
v
Si f re
90.00 B sines vices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund