160270 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361374 Page 1 of 1
ONE CIVIC SQUARE CAITLIN BRUNK
CHECK AMOUNT: $43.00
1 CARMEL,- .'JDIANA 46032 CAR MEL IN 4603 SPRUCE 03 3 CHECK NUMBER: 160270
CAR
CHECK DATE: 6/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1047 4358400 115351 43.00 REFUNDS AWARDS INDE
i
r ACTIVITY REFUND RECEIPT
Receipt 114919
Payment Date: 05/1212008
Household 17891
Home Phone: (317)846 -7018
Work Phone: (317)328 -4006
CAITLIN BRUNK Carmel Clay Parks Recreation
1474 SPRUCE DRIVE 1235 Central Park Drive East
CARMEL IN 46033 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 43.00
Enrollee Name: Caitlin Brunk Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 187315 -01 CPR Certification 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/05/2008 (Cancelled)
Primary Instructor: Tony Collins
Class Location: Carmel Fire Departme Class Dates: 05/06/2008 to 05/06/2008
Carmel Fire Departme 6:OOP to 9:OOP
2 Civic Square Tu,W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: class cancelled
GIL 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 43.00 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 05(12108 09.30:44 by MML FEES CHANGED ON CANCELLED ITEMS 43.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 43.00-
TOTAL AMOUNT REFUNDED 43.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 43.00 Made By JOURNAL -RF With Reference MAY 2 9 2008
BY:
Page 1f
ACTIVITY REFUND RECEIPT
Receipt 114919
Payment Date: 05/12/08
Household 17891
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 e o process. A check will be
issued. No ca or credit card refunds.
s
z4x
Authorize Signature Da Auth 'riz t re ate
4 7 3")o
Page 4 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.
Brunk, Caitlin Terms
1474 Spruce Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5112108 114919 Refund 43.00
Total 43.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Brunk, Caitfin Allowed 20
1474 Spruce Dr
Carmel, IN 46033
In Sum of
43.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 115351 4358400 43.00 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
4 -Jun 2008
Sig ature
43.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund