162094 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361633 Page 1 of 1
ONE CIVIC SQUARE STEVEN WALLACE CHECK AMOUNT: $280.00
CARMEL, INDIANA 46032 1446 POLO CHASE COURT
CARMEL IN 46032 CHECK NUMBER: 162094
CHECK DATE: 7/23/2008
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400. 280.00 PARKS DEPARTMENT REFU
C�l�
ACTIVITY REFUND RECEIPT
Receipt 155128
Payment Date: 07/17/2008 77
Household 16268
Home Phone: (317)581 -9095 JUL 2 1 2008
W1 Phone: (317)580 -0995
BY:
STEVEN WALLACE Monon Center
1446 POLO CHASE COURT Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 280.00
Enrollee Name: Mitchell Wallace Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 185311 -04 Paintball 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/30/2008 (Cancelled)
Primary Instructor: Manny Francia
Class Location: Proving Paintball Class Dates: 07/21/2008 to 07/25/2008
Proving Paintball 10:OOA to 2:30P
4440 SR 47 M,Tu,W,Th,F
Sheridan, IN 46069
Scheduled Sessions: 5
Cancel Reason: low enrollment
G/L Code Descri Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 280.00 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 07/17/08 11:19:58 by BJC FEES CHANGED ON CANCELLED ITEMS 280.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 280.00-
1 TOTAL AMOUNT REFUNDED_ 280.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 280.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 155128
Payment Date: 07/17/08
Household 16268
a
411 refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
Issue No cash or credit card refunds.
Authoi d Signatu Date Authorized Signature Date
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
e Purchase Order No.
Wallace, Steven Terms
l 1446 Polo Chase Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/17/08 155128 Refund 280.00
Total 280.00
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
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