158431 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 361167 Page 1 of 1
ONE CIVIC SQUARE SANDRA HARRINGTON
0 CHECK AMOUNT: $21.00
CARMEL, INDIANA 46032 12688 CRESCENT DR
CARMEL IN 46032 CHECK NUMBER: 158431
CHECK DATE: 4115/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 102377 21.00 REFUNDS AWARDS INDE
it
ACTIVITY REFUND RECEIPT
Receipt 102377 PIE C7, 1-k-7 i=
P6yment Date: 03/25/2008
Household 15833 MAR 3 1 2008
Home Phone: (317)581 -1832
Work Phone: (317)581 -1832
BY:
l
SANDRA HARRINGTON Carmel Clay Parks Recreation
12688 CRESCENT 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 21.00
Enrollee Name: Sandra Harrington Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 387375 -01 The Simplified Home 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/22/2008 (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 11:35:10 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
Page 1
ACTIVITY REFUND RECEIPT
Receipt 102377
Payment Date: 03/25/08
Household 15833
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
is ed. No cash or credit card refunds.
Authorized Signature Date Authorized Signatu Date
'17.3 ?o 3et) y555veld
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
1fvhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
Sandra Harrington
Date Due
12688 Crescent Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
21.00
3/25/08 102377 Refund
Total 21.00
I 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.
Sandra Harrington Allowed 20
12688 Crescent Drive
Carmel, IN 46032
In Sum of
21.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 102377 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
Signa re
21.00 Business Se is Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund