155554 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 360701 Page 1 of 1
ONE CIVIC SQUARE JULIE WARD CHECK AMOUNT: $232.46
o CARMEL, INDIANA 46032 1171 CAVENDISH DR
CARMEL IN 46032 CHECK NUMBER: 155554
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 69712 232.46 REFUNDS AWARDS INDE
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t
01/03/2008 04:44 FAX 0011001
r
PASS REFUND RECEIPT
Receipt 69712
Payment Date: 11/06/2007
rJA "louse,,,,, 7031 Home Phone: (317)654 -5487
Work Phone: (317) 3 2008
JULIE WARD Monon Center
1171 CAVENDISH DR. Carmel IN 46032
CARMEL, IN 46032
Phone: (317)848-7275
Fed Tax ID' #35- 6000972
Pass Details
CANCELLATION Refund Of 132.46
Pass Holder. Julie Ward Fees Tax Discount Prey Paid Cur Pald QmgOpt-Dwe.
Pass Type: YI FT Alt Res (YFTAR), #10378 107.54 0.00 107,54 0. 00 0.00
Valid Dates: 05!26/2007 to 05/26/2008 Pass Cancellation)
Fee Details: Fee Description Amount ._Count. Discount Sales Tax Tgtal Fee
Yearly Fitne3s Adult 107.54 1.00 0100 0,00 107.54
Cancel Reason: Can not use facility becasue of work schedule and traveling
G1,L Code Descrlptlon Account Number Q.W C,ntr, Descrlptictt.• f1c&oiltttNUlnber. _.61naunt
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Accl here 132.46 DR
The REVENUE account was DEBITE0 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.
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PREVIOUS NET CREDIT HOUSEHOLD BALANCE 55.00
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Processed on 11106/07 16:04:03 by EDR FEES CHANGED ON CANCELLED ITEMS 132.46-
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
WET AMOU NT•FROM.CANCELLF- p'ITEMS 182'at
i
1 HH BALANCE APPLIED TO THIS RECEIPT 100.0
t •TOTAL AMQVNT REFU'Nt7120 232.46
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NEW NET HOUSEHOLD BALANCE 45.00
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Refund Type: Refund from Flnence
Refund of 232.46 Made By JOURNAL -RF With Reference
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.
3L4 J. 2 0 Lf —3 Y I Page t
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
a whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Julie Ward Terms
1171 Cavendish Dr. Date Due
Carmel IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/6/07 69712_ Refund 232.46
Total 232.46
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.
Julie Ward Allowed 20
1171 Cavendish Dr.
Carmel IN 46032
In Sum of
232.46
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 69712 4358400 232.46 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
4 -Jan 2008
Signatur
232.46 Business Services Mana
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund