156357 02/06/2008 f CITY OF CARMEL, INDIANA VENDOR: T360827 Page 1 of 1
0 ONE CIVIC SQUARE BILL WISSEL
CARMEL, INDIANA 46032 600 N ALABAMA ST T2 APT 802 CHECK AMOUNT: $108.00
INDPLS IN 46204
CHECK NUMBER: 156357
CHECK DATE: 2/6/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 81309 108.00 REFUNDS AWARDS INDE
c.
ACTIVITY REFUND RECEIPT
i
Receipt 81309
Payment Date: 01/04/2008
Household 5893
Home Phone: (317)848 -6231
Work Phone:
a
BILL WISSEL lk- Carmel Clay Parks Recreation
11355 ROYAL PLACE p� 1235 Central Park Drive East
CARMEL, IN 46032 C� /L Carmel IN 46032
UV I
Phone: (317)848 -7275
c Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 27.00
Enrollee Name: Emily WlSsel Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 174200 Zumba 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/1812007 (Cancelled)
Primary Instructor: Rumba Flt!
Class Location: Fitness Studio A Class Dates: 05/08/2007 to 06/02/2007
Monon Center 6:OOP to 7:OOP
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: low enrollment
CANCELLATION Refund Of 27.00
Enrollee Name: Emily WlSsel Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 174301 -01 Cycle Beginner 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/18/2007 (Cancelled)
Primary Instructor: NIFS
Class Location: Fitness Studio A Class Dates: 05/07/2007 to 05/31/2007
Monon Center 8:OOP to 9:OOP
M
Carmel, IN 46032 Skip Days 05/28/2007
(317)848 7275 Scheduled Sessions: 3
Cancel Reason: low enrollment
G/L Code Description Acc ount Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 54.00 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.
Page #1
ACTIVITY REFUND RECEIPT
Receipt 81309
Payment Date: 01/04/08
Household 5893
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 54.00
Processed on 01/04/08 08:00:13 by BJC FEES CHANGED ON CANCELLED ITEMS 54.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 54.00=
HH BALANCE APPLIED TO THIS RECEIPT 54.00
TOTAL AMOUNT REFUNDED 108.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 108.00 Made By JOURNAL -RF With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and ma take 4- weeks to process. A check will be
issued. No cash or credit card refunds.
Auth Signature Date Authorized Si ature Da
or
3
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.
Bill Wissel Terms
600 North Alabama St. T2 Apt. 802 Date Due
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/12/08 81309 Refund 108.00
Total 108.00
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.
Bill Wissel Allowed 20
600 North Alabama St. T2 Apt. 802
Indianapolis, IN 46204
In Sum of
108.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 81309 4358400 108.00 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
24 -Jan 2008
A�
Sig
108.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund