156612 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 360869 Page 1 of 1
ONE CIVIC SQUARE BRET HELM CHECK AMOUNT: $65.00
CARMEL, INDIANA 46032 3559 BRUMLEY MEWS
CARMEL IN 46033
CHECK NUMBER: 156612
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 65.00 PARKS DEPARTMENT REFU
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-5
ACTIVITY REFUND RECEIPT
Receipt 91208 WECFJVEDj
Pavment Date: 02/08/2008
Household 14164 FEB 1 5 2008
Horne Phone: (317)519 -3718
Work Phone:
BY:
BRET HELM Carmel Clay Parks Recreation
3556 BRUMLEY MEWS 1235 Central Park Drive East
CARMEL, IN 46033 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 65.00
Enrollee Name: ethan helm Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number:' 383003 -16 Guppy 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/30/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indr Leisure Pool 3 Class Dates: 02/18/2008 to 03/19/2008
Monon Center 10:30A to 11:OOA
M,W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Cancel Reason: Double registered, under mother's account.
G/L Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 65.00 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 02/08/08 10:46:31 by KAB 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, 65.00
TOTAL'AMOUNT REFUNDED
65:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 65.00 Made By JOURNAL -RF With Reference double registered
Page 1
ACTIVITY REFUND RECEIPT
Receipt 91208
Payment Date: 02/08/08
Household 14164
i'
All 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.
Authorized Signature Date Authorized Signature Date
4M ,3
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.
i Payee
Purchase Order No.
Bret Helm Terms
3559 Brumley Mews Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/08 91208 Refund 65.00
Total 65.00
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
1.
Voucher No. Warrant No.
Bret Helm Allowed 20
3559 Brumley Mews
Carmel, 1N 46033
In Sum of
65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 91208 4358400 65.00 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 -Feb 2008
sigvlZture
65.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund