155662 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 360719 Page 1 of 1
ONE CIVIC SQUARE JILL BUCK
CARMEL, INDIANA 46032 5283 IVY HILL DR CHECK AMOUNT: $65.00
CARMEL IN 46033 CHECK NUMBER: 155662
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 82607 65.00 REFUNDS AWARDS INDE
L'�
ACTIVITY REFUND RECEIPT
Y
Receipt 82607
Payment Date: 01/08/2008
Hou ehold 14275
Home Phone: (317)663 -4546 JAN I 2Tn0
Work Phone:
JILL BUCK Carmel Clay Parks Recreation
5283 IVY HILL 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 65.00
Enrollee Name: Andrew Buck Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 385003 -01 Lil' Kickers Jack Ra 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/19/2007 (Cancelled)
Primary Instructor: Off the Wall Sports
Class Location: Off The Wall Sports Class Dates: 01/07/2008 to 02/11/2008
Off the Wall Sports 11:30A to 12:15P
1423 Chase Court M
Carmel, IN 46032
(317)340 -9086 Scheduled Sessions: 6
Cancel Reason: low enrollment
G Co de Descrip Account Numbe Cst C ntr Descriptio Ac count Numb Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 65.00 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 01/08/08 08:33:56 by BJC FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 65.00
TOTAL AMOUNT REFUNDED 65.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 65.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 82607
Payment Date: 01/08/08
Household 14275
All refunds are sub' t to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No cash or edit card refunds. I
Authori d Signature Date Authorized Signa late
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.
Jill Buck Terms
5283 Ivy Hill Dr. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
118108 82607 Refund 65.00
Total 65.00
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.
Jill Buck Allowed 20
5283 Ivy Hill Dr.
Carmel, IN 46033
In Sum of
65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1047 82607 4358400 65.00 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
16 -Jan 2008
nat
65.00 Business S ices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund