161807 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361615 Page 1 of 1
ONE CIVIC SQUARE SUSAN ENG
CARMEL, INDIANA 46032 11790 HARVARD LANE CHECK AMOUNT: $384.00
CARMEL IN 46632
CHECK NUMBER` 161807
CHECK DATE: 7/23/2008
DEPARTMENT AC COUNT PO NUM INVOIC NUMBE AMOUNT DES
1047 4358400 384.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 137116
Payment Date: 06/23/2008
Household 9686
Home Phone: (317)810 -9377
Work Phone: (317)613 -6744 JUL 0 8 2008
B:
SUSAN ENG Carmel Clay Parks Recreation
11790 HARVARD LANE 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 198.58
Pass Holder: Matthew Klapper Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt Res (YFTAR), #23737 41.42 0.00 41.42 0.00 0.00
Valid Dates: 04/21/2008 to 04/21/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Yearly Fitness Adult 41.42 1.00 0.00 0.00 41.42
Cancel Reason: moving to boston
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 198.58 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 06/23/08 05:44:43 by LVA FEES CHANGED ON CANCELLED ITEMS 198.58
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 198.58
TOTAL AMOUNT REFUNDED 198.58
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 198.58 Made By JOURNAL -RF With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue sh or credit card refunds.
-4--- KA li �A -4 -Lx-
Authorized Signature Date Authorized Signature Date
�yL)
Page 1
PASS REFUND RECEIPT
Receipt 150052
Payrment Date: 07/13/2008 F J -ll-'-.FITV
Household 9686
Home Phone: (317)810 -9377 5 2003
Work Phone: (317)613 -6744
Y:
SUSAN ENG Carmel Clay Parks Recreation
13528 BRENTWOOD LANE 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 185.42
Pass Holder: Susan Klappef Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt Res (YFTAR), #23736 54.58 0.00 54.58 0.00 0.00
Valid Dates: 04/21/2008 to 04/21/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Yearly Fitness Adult 54.58 1.00 0.00 0.00 54.58
Cancel Reason: moving to Boston
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 185.42 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 07/13/08 10:13:09 by LVA FEES CHANGED ON CANCELLED ITEMS 185.42
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
'NET AMOUNT' FROM CANCELLED ITEMS 185.42
TOTAL AMOUNT.REFUNDED 185.42
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 185.42 Made By REFUND FINAN With Reference
All refu subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
is No sh or credit card refunds.
1
Authorized Signature Date Authorized Signature Date
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.
Eng, Susan Terms
11790 Harvard Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/23/08 137116 Refund 198.58
7/13/08 150052 Refund 185.42
Total 384.00
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.
Eng, Susan Allowed 20
11790 Harvard Lane
Carmel, IN 46032
In Sum of
384.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 137116 4358400 198.58 1 hereby certify that the attached invoice(s), or
1047 150052 4358400 185.42 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
384.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund