160626 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: T361389 Page 1 of 1
ONE CIVIC SQUARE KELLEY WELLS
CHECK AMOUNT: $112.00
CARMEL, INDIANA 46032 2620 HEATHERMOOR PK DR S
WESTFIELD IN 46074 CHECK NUMBER: 160626
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUN PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1047 4358400 123204 112.00 REFUNDS AWARDS INDE
''t
ACTIVITY REFUND RECEIPT
Receipt 123204
Payment Date: 06/02/2008
Household 1087
Home Phone: (317)733 -2694
Work Phone:
KELLEY WELLS Carmel Clay Parks Recreation
2620 HEATHERMOOR PK DR., S. 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 112.00
Enrollee Name: Hagan Wells Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186242 -01 Etiquette Kingdom 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/02/2008 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Program Room B Class Dates: 06/05/2008 to 07/31/2008
Monon Center 5:OOP to 5:40P
Th
Carmel, IN 46032 Skip Days 07/03/2008
(317)848 -7275 Scheduled Sessions: 8 RECEIVED
cancel Reason: low enrollment
JUN 0 9 2008
BY:
G/L Code Description Account Number Cst Cntr Description Account Number Amoun
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 06/02/08 16:07:57 by CNA 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 low enrollment
Page 1
1
ACTIVITY REFUND RECEIPT
Receipt 123204
Payment Date: 06/02/08
Household 1087
All refunds are subject to State Board of Accounts claim procedure and m ake 4 -6 we to process. A check will be
issued. No cash or credit card refunds. I
Auth rized Signature Date Auth ize ure Date
RECEIVED
JUN 0 9 2008
BY:
Page 2
ACCOUNTS PAYABLE VOUCHER
,N 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.
Wells, Kelley Terms
2620 Heathermoor Pk Dr., S Date Due
Westfield, In 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/08 123204 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
Voucher No. Warrant No.
Wells, Kelley Allowed 20
E 2620 Heathermoor Pk Dr., S
Westfield, In 46074
In Sum of
112.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 123204 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
9 -Jun 2008
Signature
112.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund