163232 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 361769 Page 1 of 1
0 ONE CIVIC SQUARE NATALIE HEIDECKER CHECK AMOUNT: $201.50
CARMEL, INDIANA 46032 14917 ANNABEL COURT
a, ate WESTFIELD IN 46074. CHECK NUMBER: 163232
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 201.50 PARKS DEPARTMENT REFU
4 ACTIVITY REFUND RECEIPT
Receipt 175957
Payment Date: 08/14/2008��+jr`
Household 13241
Home Phone: (317)669 -8393 AUG 1 2008
Work Phone:
NATALIE HEIDECKER Monon Center
14917 ANNABEL CT. Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 65.00
Enrollee Name: Jonah Heidecker Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 383003 -07 Guppy 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/11/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indr Leisure Pool 3 Class Dates: 02/18/2008 to 03/19/2008
Monon Center 4:15P to 4:45P
M,W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Cancel Reason: parent changed mind
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 201.50 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 CREDIT HOUSEHOLD BALANCE 136.50
Processed on 08/14/08 14:52:59 by ALC FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET:AMOU NT, FROM CANCELLED`'ITEMS,
HH BALANCE APPLIED TO THIS RECEIPT
TOTAL =AMOUNT: REFUNDED ,._�o.. 201:50:'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 201.50 Made By REFUND FINAN With Reference
Page 1
ACTIVITY REFUND RECEIPT
Receipt 175957
Payment Date: 08/14/08
Household 13241
,All refunds are subject to State Board of Accounts claim procedure and y take 4 -6 w eks pr s A check will be
issued. No cash or credit card refunds.
1 I
Aut or' ed S' nature Date Autho'dAd D to
�M CZ
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.
Heidecker, Natalie Terms
14917 Annabel Ct Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/14/08 175957 Refund 201.50
Total 201.50
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.
Heidecker, Natalie Allowed 20
14917 Annabel Ct
Westfield, IN 46074
In Sum of
201.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 175957 4358400 201.50 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
25 -Aug 2008
/h :�1��
Signature
201.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund