163148 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: T361790 Page 1 of 1
ONE CIVIC SQUARE NAOMI BECHTOLD
CARMEL, INDIANA 46032 14266 CARLOW RUN CHECK AMOUNT: $280.00
WESTFIELDIN 46074
CHECK NUMBER: 163148
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1047 4358400 139366 280.00 REFUNDS AWARDS INDE
i
I
ACTIVITY REFUND RECEIPT
Receipt 139366
Payment Date: 06/26/2008
Household 14869 AUG
Home Phone: (317)571 -1499 �a88
Work Phone: (317)917 -2760
BY-
NAOMI BECHTOLD Carmel Clay Parks Recreation
14266 CARLOW RUN 1235 Central Park Drive East
WESTFIELD IN 46074 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 280.00
Enrollee Name: Bryant Bechtold Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 185311 -01 Paintball 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/08/2008 (Cancelled)
Primary Instructor: Manny Francia
Class Location: Proving Paintball Class Dates: 06/09/2008 to 06/13/2008
Proving Paintball 10:OOA to 2:30P
4440 SR 47 M,Tu,W,Th,F
Sheridan, IN 46069
Scheduled Sessions: 5
Cancel Reason: class was cancelled
G/L 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 280.00 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 06/26/08 08:02:46 by KLS FEES CHANGED ON CANCELLED ITEMS 280.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT: FROM CANCELLEDITEMS, 280'.00=
TOTAL AMOUNT REFUNDED 280;00'
3(a. 300, y35 qt( b
NEW NET HOUSEHOLD BALANCE 0.00
L' j h
Refund of 280.00 Made By JOURNAL -RF With Reference
Page 1
ACTIVITY REFUND RECEIPT
Receipt 139366
Payment Date: 06/26/08
Household 14869
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.
g 3-g /0
Authorized Signature Date Authorized Signature Date
Page 9 2
r
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.
Bechtold, Naomi Terms
14266 Carlow Run Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6126108 139366 Refund 280.00
Total 280.00
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.
Bechtold, Naomi Allowed 20
14266 Carlow Run
Westfield, IN 46074
In Sum of
280.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1047 139366 4358400 280.00 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
28 -Aug 2008
&m lmlla
Signature
280.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund