158358 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: T361164 Page 1 of 1
ONE CIVIC SQUARE TERRI DAVIS
!4 CHECK AMOUNT: $21.00
CARMEL, INDIANA 46032 2402E 99TH ST
off �o INDPLS IN 46280 CHECK NUMBER: 158358
CHECK DATE: 4/15/2008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 102375 21.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 102375 MAR 3 1 2008
Payment Date: 03/25/2008
Household 16351
Home Phone: (317)844 -6052
Work Phone:
TERRI DAVIS Carmel Clay Parks Recreation
2402 E 99TH ST 1235 Central Park Drive East
INDIANAPOLIS, IN 46280 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 21.00
Enrollee Name: Terri Davis Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 387375 -01 The Simplified Home 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/28/2008 (Cancelled)
Primary Instructor: Janet Nusbaum
Class Location: Program Room C Class Dates: 03/03/2008 to 03/03/2008
Monon Center 6:30P to 7:30P
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
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 21.00 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 03/25/08 11:33:50 by SAC FEES CHANGED ON CANCELLED ITEMS 21.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 21.00
TOTAL AMOUNT REFUNDED 21.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 21.00 Made By JOURNAL -RF With Reference low enrollment
570
yo Page 1
ACTIVITY REFUND RECEIPT
Receipt 102375
Payment Date: 03/25/08
Household 16351
All refunds are subject to State Board of Accounts claim procedure and ma t ke 4 -6 w s to process. A check will be
issued. No cash or credit card refunds. J
Authorized Signature Date Authorized Signature ate
3 3cv-�alot,
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.
Terri Davis Terms
2402 E. 99th Street Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/25/08 102375 Refund 21.00
Total 21.00
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.
Terri Davis Allowed 20
2402 E. 99th Street
Indianapolis, IN 46280
In Sum of
21.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept ept
1047 102375 4358400 21.00 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
31 -Mar 2008
d
Sign tur
21.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund