161972 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361627 Page 1 of 1
ONE CIVIC SQUARE SHELLY NAUM
s CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 14391 QUAIL POINTE DRIVE
CARMEL IN 46032
CHECK NUMBER: 161972
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 75.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 144355 Llsy�j UL 0 8 2008
Payment Date: 07/03/2008
Household 6936 Home Phone: (317)571 -8979
Work Phone:
SHELLY NAUM Carmel Clay Parks Recreation
14391 QUAIL POINTE DRIVE 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 75.00
Enrollee Name: Shelly Naurn Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 189202 -01 Chicago Navy Pier 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/19/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Parking Lot East Class Dates: 06/28/2008 to 06/28/2008
Monon Center 6:OOA to 12:OOA
Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
G/L Code Descri Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 75.00 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 07/03/08 14:57:48 by SAC FEES CHANGED ON CANCELLED ITEMS 75.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
'NET AMOUNT FROM CANCELLED ITEMS 75.00
;TOTAL AMOUNT REFUNDED. 75.00'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 75.00 Made By REFUND FINAN With Reference low enrollment
I
Page 1
ACTIVITY REFUND RECEIPT
Receipt 144355
Payment Date: 07/03/08
Household 6936
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu d o cash or credit c d refunds.
Authorized Sign Date t. Authorized Signature Date
-3703L(a�
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.
Naum, Shelly Terms
14391 Quail Pointe Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/3/08 144355 Refund 75.00
I
Total 75.00
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.
Naum, Shelly Allowed 20
14391 Quail Pointe Drive
Carmel, IN 46032
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 144355 4358400 75.00 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
18-Jul 2008
Signature
75.00 Accounts Payable Coord inator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund