157450 03/19/2008 .a •.f CITY OF CARMEL, INDIANA VENDOR: T360993 Page 1 of 1
ONE CIVIC SQUARE CHALAPATHI DEVARARAKONDA CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 1160 MOHAWK HILLS DRIVE
CARMEL IN 46032 CHECK NUMBER: 157450
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 55.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 96651
RECEIVED
Payment Date: 02/29/2008
Ho6sehold 14395 MAR 1 0 2008
Home Phone: (317)663 -3012
Work Phone: BY
CHALAPATHI DEVARARAKONDA Carmel Clay Parks Recreation
1160 MOHAWKHILLS 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 55.00
Enrollee Name: Krishna Devarakonda Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 385008 -01 Preschool Basketball 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12122/2007 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium C Class Dates: 02/13/2008 to 04/02/2008
Monon Center 4:OOP to 5:OOP
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
cancel Reason: unorganized class
G/L Code Description Acco Nu Cst C ntr Descri Accou Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 55.00 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 02/29/08 05:49:15 by BJC FEES CHANGED ON CANCELLED ITEMS 55.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 55.00
TOTAL AMOUNT REFUNDED 55.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 55.00 Made By JOURNAL -RF With Reference unorganized class
Page 1
T ACTIVITY REFUND RECEIPT
Receipt 96651
Payment Date: 02/29/08
Household 14395
All refunds are subject to State Board of Accounts claim procedure and. ay take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
b
AujDo' z d Signature Date Auth fi ignatu D to
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.
Chalapathi Devararakonda Terms
1160 Mohawk Hills Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2129/08 96651 Refund 55.00
Total 55.00
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.
Chalapathi Devararakonda Allowed 20
1160 Mohawk Hills Dr.
Carmel, IN 46032
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1047 96651 4358400 55.00 I 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
12 -Mar 2008
Si natu
55.00 Business Se es Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund