161845 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361617 Page 1 of 1
ONE CIVIC SQUARE ANGELA HAGAMAN
a 0 CHECK AMOUNT: $31.00
CARMEL, INDIANA 46032 563 PONDS POINTE DRIVE
CARMEL IN 46032 CHECK NUMBER: 161845
CHECK DATE: 7/23/2008
DEPAR ACCOUN PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 31.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
C:T :TED
Receipt 144233 JUL 0 2008
Payment Date: 07/03/2008
Household 15836
Horoe Phone: (317)844 -6848 BY:--
Work Phone:
ANGELA HAGAMAN Carmel Clay Parks Recreation
563 PONDS POINTE DRIVE 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 31.00
Enrollee Name: Abigayle Suding Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186363 -02 Bugout 0.00 0.00 0.00 0.00 0.00,
Enrollment Date: 06/28/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Flowing well Observa Class Dates: 07/07/2008 to 07/28/2008
Flowing well park 9:OOA to 10:OOA
5100 E. 116th Street M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Descrip Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 31.00 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 07/03/08 09:44:02 by BJC FEES CHANGED ON CANCELLED ITEMS 31.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 31.00
TOTAL AMOUNT REFUNDED 31.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 31.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 144233
Payment Date: 07/03/08
Household 15836
411 refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds. L
Authorized S' ature Date Authorized Signature Date
q'7 3�o
Page #2
ACCOUNTS PAYABLE VOUCHER
r 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.
Hagaman, Angela Terms
563 Ponds Pointe Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/3/08 144233 Refund 31.00
Total 31.00
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.
Hagaman, Angela Allowed 20
563 Ponds Pointe Drive
Carmel, IN 46032
In Sum of
Y*
31.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 144233 4358400 31.00 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
31.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I