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161741 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361610 Page 1 of 1 0 ONE CIVIC SQUARE LISA BRADFORD 4 CARMEL, INDIANA 46032 2520 DAWN RIDGE DR CHECK AMOUNT: $58.00 WESTFIELD IN 46074 CHECK NUMBER: 161741 CHECK DATE: 7/23/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION ,i1047 4358400 58.00 PARKS DEPARTMENT REFU r. I ACTIVITY REFUND RECEIPT Receipt 116771 Payment Date: 05/16/2008 Hopsehold 9506 Home Phone: (317)732 -4343 �CEIV; Work Phone: JUL 1 5 2008 BY: i LISA BRADFORD Carmel Clay Parks Recreation 2520 DAWN RIDGE DR. 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 58.00 Enrollee Name: Drew Bradford Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 183003 -02 Guppy 7.00 0.00 0.00 7.00 0.00 Enrollment Date: 04/09/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: Indr Leisure Pool 3 Class Dates: 06/02/2008 to 06/12/2008 Monon Center 10:15A to 10:45A M,Tu,W,Th Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 8 Fee Details: Fee Des Amount Count Discount Sale Tax Total Fee guppy resident 7.00 1.00 0.00 0.00 7.00 Cancel Reason: The family is moving out of town and needs a check refund. AC G/L 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 58.00 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 05/16/08 12:43:41 by ALC FEES CHANGED ON CANCELLED ITEMS 65.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00 FNET ;AMOU NT; FROM; CANCELLED. ITEMS 58.00 TOTALiAMOUNT REFUNDED,' a 58:00', NEW NET HOUSEHOLD BALANCE 0.00 Page 1 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. Bradford, Lisa Terms 2520 Dawn Ridge Dr. Date Due Westfield, IN 46074 Invoice Invoice Description Date Number ERefund note attached invoice 5/1 es) or bill(s)) Amount D 6/08 116771 Total 58.00 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. Bradford, Lisa Allowed 20 2520 Dawn Ridge Dr. Westfield, IN 46074 In Sum of 58.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1047 116771 4358400 58.00 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 18 -Jul 2008 Signature 58.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund