161239 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T361509 Page 1. of 1
ONE CIVIC SQUARE ANDREAS WEBER CHECK AMOUNT: $95.00
CARMEL, INDIANA 46032 15026 BAINBRIDGE CT
WESTFIELD IN 46074
o CHECK NUMBER: 161239
CHECK DATE: 7/8/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 143940 95.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 143940
Payment Date: 07/02/2008
Household 1553
Home Phone: (317)669 -7107
Work Phone: (317)870 -5959
t
ANDREAS WEBER Carmel Clay Parks Recreation
15026 BAINBRIDGE CT. 1235 Central Park Drive East
WESTFIELD IN 46074 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 95.00
Enrollee Name: LeXie Weber Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 185308 -11 Beginner Gymnastics 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/25/2008 (Cancelled)
Primary Instructor: Gene Watson
Class Location: Indy School of Gymn Class Dates: 07/07/2008 to 08/11/2008
Gymnastics 5:OOP to 5:50P
9850 Mayflower Park Drive M
Carmel, IN 46032
Scheduled Sessions: 6
Cancel Reason: low enrollment
GL Code Description Ac count Number Cst C ntr Descri Accou Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 95.00 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 15:41:16 by BJC FEES CHANGED ON CANCELLED ITEMS 95.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 95.00
NEW NET HOUSEHOLD BALANCE 0.00
VED
Refund of 95.00 Made By REFUND FINAN With Reference low enrollment
JUL 0 3 2008
Page 1
ACTIVITY REFUND RECEIPT
Receipt 143940
Payment Date: 07/02/08
Household 1553
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.
Auth ed Signature Date Authorized Signature Date
q D
V
JUL 0 3 2008
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.
Terms
Weber, Andreas
15026 Bainbridge Ct. Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) 95.00
Amount
D
7/2/08 143940 Refund
Total 95.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Weber, Andreas Allowed 20
15026 Bainbridge Ct.
Westfield, IN 46074
In Sum of
95.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 143940 4358400 95.00 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
3 -Jul 2008
Signature
95.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
WERED