165936 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: T362154 Page 1 of 1
ENE CIVIC SQUARE KELLI RINGENBERG
RMEL, INDIANA 46032 13298 STAGG HILL DRIVE CHECK AMOUNT: $48.00
CARMEL IN 46033 CHECK NUMBER: 165936
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 48.00 PARKS DEPARTMENT REFU
r ACTIVITY REFUND RECEIPT
[BY
Receipt 197115 O CT 2 8 200
Payment Date: 10/27/2008
Household 22255
Home Phone: (317)843 -1452
Work Phone:
KELLI RINGENBERG Prairie Trace Elemen
13298 STAGG HILL DR 14200 North River Road
CARMEL IN 46033 Carmel IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 48.00
Enrollee Name: Tatum ROmaniuk Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486073 02 Karate 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 10/13/2008 (Cancelled)
Class Location: Prairie Trace Elem Class Dates: 10/28/2008 to 11/20/2008
Prairie Trace Elemen 2:45P to 3:45P
14200 North River Road Tu,Th
Carmel, IN 46033
(317)848 -7275 Scheduled Sessions: 8
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 48.00 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 10/27/08 11:03:40 by SLS FEES CHANGED ON CANCELLED ITEMS 48.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 48.00=
TOTAL AMOUNT REFUNDED 48:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 48.00 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 197115
Payment Date: 10/27/2008
Household 22255
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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.
Ringenberg, Kelli Terms
13298 Stagg Hill Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/27/08 197115 Refund 48.00
Total 48.00
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.
Ringenberg, Kelli Allowed 20
13298 Stagg Hill Dr
Carmel, IN 46033
In Sum of
48.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046. 197115 4358400 48.00 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
31 -Oct 2008
Signature
48.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund