155937 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: T360729 Page 1 of 1
ONE CIVIC SQUARE YVETTE VAN DER WIEL
CARMEL, INDIANA 46032 9660 SUMMERLAKES DR CHECK AMOUNT: $50.00
CARMEL IN 46032 CHECK NUMBER: 155937
CHECK DATE: 1/2312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 82127 50.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
!cdipt 82127
yr Date: 01/07/2008
useh;old 14628 =Y
me`tPhone: (317)582 -0666 i
)rk Phone: (317)
JAN p
YVETTE VAN DER WIEL Monon Center
9660 SUMMERLAKES DR Carmel IN 46032
CARMEL, IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
irollment Details
CANCELLATION Refund Of 50.00
Enrollee Name: Brooke Van der Wiel Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 388033 -01 Volleyball 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/02/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium C Class Dates: 01/07/2008 to 02/25/2008
Monon Center 4:30P to 5:30P
M
Carmel, IN 46032 Skip Days 01/21/2008, 02/18/2008
(317)848 -7275 Scheduled Sessions: 6
Cancel Reason: low enrollment
G/L Code De Acc ount Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 50.00 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 01/07/08 11:36:25 by TCP FEES CHANGED ON CANCELLED ITEMS 50:00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
;NET AMOUNT FROM CANCELLED ITEMS 50.00
TOTAL AMOUNT REFUNDED 50:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 50.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 82127
Payment Date: 01/07/08
Household 14628
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 eks to process. A check will be
issued. No cash or credit card refunds.
Authorized Signature Date A thorized ig tare ate
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.
Yvette Van der Wiel Terms
9660 Summerlakes Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/7/08 82127 Refund 50.00
Total 50.00
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.
Yvette Van der Wiel Allowed 20
9660 Summerlakes Dr.
Carmel, IN 46032
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 82127 4358400 50.00 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
16 -Jan 2008
igVe$ 50.00 Business a Mana er
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund