156365 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: T360830 Page 1 of 1
ONE CIVIC SQUARE DONGWEI YANG
CARMEL, INDIANA 46032 760 INDIAN TRAILS APT A CHECK AMOUNT: $53.00
CARMEL IN 460.32 CHECK NUMBER: 156365
CHECK DATE: 2/612008
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 87748 53.00 REFUNDS AWARDS INDE
0
I
ACTIVITY REFUND RECEIPT
r
F R EF ICEIVED Receipt 87748
Payment Date: 01/25/2008 N 3 0 2008 Household 14241
Home Phone: (317)362 -2167 �j'2
Work Phone: I
DONGWEI YANG Carmel Clay Parks Recreation
780 INDIAN TRAILS, APT A 1235 Central Park Drive East
CARMEL, IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 53.00
Enrollee Name: Carol You Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 386224 -08 Beautiful Ballerinas 7.00 0.00 7.00 0.00 0.00
Enrollment Date: 12/18/2007 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location: Dance /Fitness Room Class Dates: 03/15/2008 to 05/03/2008
Monon Center 12:30P to 1:OOP
Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Dance Class Studio R 7.00 1.00 0.00 0.00 7.00
Cancel Reason: does not want to be in class
G/L Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 53.00 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 01/25/08 14:51:19 by BJC FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT'FROM "CANCELLED ITEMS 53.00=
TOTAL AMOUNT REFUNDED, 53.00
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 87748
Payment Date: 01/25/08
Household 14241
Refund Type: Refund from Finance
Refund of 53.00 Made By JOURNAL -RF With Reference doesn't like class
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 cash or credit card refunds.
Authori ed Signature Date Authorized igna re ate
CO
Q 100
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
v�hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
DongweiYang
Date Due
780 Indian Trails, Apt. A
Carmel, IN 46032
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
53.00
1/25/08 87748 Refund
Total 53.00
I 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.
Dongwei Yang Allowed 20
780 Indian Trails, Apt. A
Carmel, IN 46032
In Sum of
53.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 87748 4358400 53.00 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
30 -Jan 2008
44
Signa re
53.00 Business ervi s Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund