156796 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: T360873 Page 1 of 1
ONE CIVIC SQUARE KATINA ROSSOW
CARMEL, INDIANA 46032 9618 fURNBERRY COURT CHECK AMOUNT: $50.00
CARMELIN 46032 CHECK NUMBER: 156796
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER IN VOIC E NUMBER AMOUNT DESCRIPTION
1047 43.58400 50.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT gam.
Receipt 90989����
Payment Date: 02/07/2008 F g
Pousehold 12.242 5 2��g
Home Phone: (317)870 -1105
Work Phone: (317)696 -2994
KATINA ROSSOW Carmel Clay Parks Recreation
9618 TURNBERRY COURT 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 50.00
Enrollee Name: Meredith ROSSOw Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 386247 -06 Music, Imagination a 0.00 0.00 0.00 0.00 0.00
Enrollment Date. 01/21/2008 (Cancelled)
Primary Instructor: oogles -n -Goo
Class Location: Program Room B Class Dates: 02/0412008 to 02/25/2008
Monon Center 1 O:OOA to 11:OOA
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason. family emergancy
G/L Code Descri Accou Num ber Cst Cntr Descriptio Acc ount N 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 02107/08 09.21:23 by BJC 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 family emergancy
Page 1
ACTIVITY REFUND RECEIPT
Receipt 90989
Payment Date: 02/07/08
Household 12242
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 w ks to rocess. A check will be
issueA No cash or credit card refunds.
Au Signature Date Authorized Signature D to
b jc
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
y Purchase Order No.
Katina Rossow Terms
9618 Turnberry Ct. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
217/08 90989 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
r�
Voucher No. Warrant No.
Katina Rossow Allowed 20
9618 Turnberry Ct.
Carmel, IN 46032
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept ept INVOICE NO. ACCT WTITLE AMOUNT
1047 90989 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
18 -Feb 2008
J
Si ature
50.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund