161215 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T361493 Page 1 of 1
ONE CIVIC SQUARE LAEL HILL CHECK AMOUNT: $5.00
CARMEL, INDIANA 46032 2940 PLAZA DR APT A
INDPLS IN 46268 CHECK NUMBER: 161215
CHECK DATE: 7/8/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 143471 5.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 143471
Payment Date: 07/02/2008
Household 19609
Home Phone: (317)757 -6031
Work Phone:
LAEL HILL Carmel Clay Parks Recreation
2940 PLAZA DR APT A 1235 Central Park Drive East
INDIANAPOLIS IN 46268 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 5.00
Enrollee Name: Eli Hill Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186117 -03 Play Date West 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/18/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: West Park Field Class Dates: 07/07/2008 to 07/07/2008
West Park 10:OOA to 11:OOA
2700 W. 116th St. M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 5.00 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 07/02/08 12:37:38 by CNA FEES CHANGED ON CANCELLED ITEMS 5.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0 00
NET'AMOUNT FROM =CANCELLED ITEMS 5.00
TOTAL AMOUNT-
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 5.00 Made By REFUND FINAN With Reference low enrollment
JUL 0 3 2008
Page 1
ACTIVITY REFUND RECEIPT
Receipt 143471
Payment Date: 07/02/08
Household 19609
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.
c QLkf .3 og
A thorized Signature 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
Purchase Order No.
Hill, Lael Terms
2940 Plaza Dr., Apt A Date Due
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/2108 143471 Refund 5.00
Total 5.00
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
Voucher No. Warrant No.
Hill, Lael Allowed 20
2940 Plaza Dr., Apt A
Indianapolis, IN 46268
In Sum of
5.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 143471 4358400 5.00 i 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
3 -Jul 2008
Signature
5.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ENTERED