161202 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T361482 Page 1 of 1
ONE CIVIC SQUARE KIMBERLY BYRD
CHECK AMOUNT: $35,00
CARMEL, INDIANA 46032 2431 wiNFiLLa DR
CARMEL IN 46032 CHECK NUMBER: 161202
CHECK DATE: 7/8/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 141437 35.00 REFUNDS AWARDS INDE
c
s' IJ ACTIVITY REFUND RECEIPT
Receipt 141437
Payment Date: 06/30/2008
Household 949
Home Phone: (317)733 -8620
Work Phone:
KIMBERLY E. BYRD Carmel Clay Parks Recreation
2431 WINFIELD DR. 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Scott Byrd Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 189002 -01 Family Campout 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/26/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: West Park Shelter Class Dates: 06/13/2008 to 06/14/2008
West Park 4:30P to 9:OOA
2700 W. 116th St. F,Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 2
Cancel Reason: unable to attend rain date
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 35.00 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 06/30/08 11:21:31 by DMM FEES CHANGED ON CANCELLED ITEMS 35.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 35.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By JOURNAL -RF With Reference _-CE
1 FD
JUL 0 2 2008
Page 1
ACTIVITY REFUND RECEIPT
Receipt 141437
Payment Date: 06/30/08
Household 949
All refunds are subject to State Board of Accounts claim procedure an may take 7 6 we ks to process. A check will be
issued. No cash or credit and refunds.
G 7 i
Authorized Signature Dale Authorized Sign a Date T375, -3 y33
PTNT D
J JUL 0 2 2008
B
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. r
Payee
Purchase Order No.
Byrd, Kimberly Terms:_.''
2431 Winfield Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
D ate Number (or note attached invoice(s) or bill(s)) Amount
6130108 141437 Refund 35.00
Total 35.00
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
.lcher No. Warrant No.
if Byrd, Kimberly Allowed 20
2431 Winfield Dr.
Carmel, IN 46032
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE N0. ACCT #MTLE AMOUNT Board Members
Dept
1047 141437 4358400 35.00 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
2 -Jul 2008
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
clai motor vehicle highway fund
E �D