160625 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: T361388 Page 1 of 1
ONE CIVIC SQUARE RAY WEIGAND CHECK AMOUNT: $112.00
zs CARMEL, INDIANA 46032 5261 CHEYENNE MOON
CARMEL IN 46033 CHECK NUMBER: 160625
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 119192 112.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 119192
Payment Date: 05/26/2008
Household 17305
Home Phone: (317)569 -0402
Work Phone:
RAY WEIGAND Carmel Clay Parks Recreation
5261 CHEYENNE MOON 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 112.00
Enrollee Name: Barbara Weigand Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 185513 -01 Women's Golf Clinic 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/21/2008 (Cancelled)
Primary Instructor: Plum Creek Golf
Class Location: Plum Creek Golf Club Class Dates: 04/29/2008 to 05/20/2008
Plum Creek Golf Cour 9:OOA to 10:30A
12401 Lynnwood Blvd. Tu
Carmel, IN 46033
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: wait listed
GL Code Description Account Number_____ Cst Cntr Descriptio Acc Number Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 112.00 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 05126/08 11:56:12 by MML FEES CHANGED ON CANCELLED ITEMS 112.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 112.00
TOTAL AMOUNT REFUNDED 112.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 112.00 Made By JOURNAL -RF With Reference waitlist CIEIVED
MAY 2 9 2008
BY:
Page 1
ACTIVITY REFUND RECEIPT
Receipt 119192
Payment Date: 05/26/08
Household 17305
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No ca or cr dit card refunds.
Authorize Signature Date A tho .ed Signature ID
t
Page 2
ACCOUNTS PAYABLE VOUCHER
l 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.
Weigand, Ray Terms
5261 Cheyenne Moon Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
5/26/08 119192 Refund 112.00
Total 112.00
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
i
V -bucher No. Warrant No.
Weigand, Ray Allowed 20
5261 Cheyenne Moon
Carmel, IN 46033
In Sum of
112.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 119192 4358400 112.00 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
4 -Jun 2008
a
Sig r
112.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund