161772 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361612 Page 1 of 1
ONE CIVIC SQUARE JANET CLARK CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 1023 BIRNAMWOOD TRAIL
INDIANAPOLIS IN 46280 CHECK NUMBER: 161772
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCR
rl047 4358400 75.00 PARKS DEPARTMENT REFU
I
I
ACTIVITY REFUND RECEIPT
Re.;eipt# 144239
Payment Date: 07/03/2008
Household M. 18378 JUL 0 8 20x8
Home Phone: (317)846 -4930
Wol'k Phone:
JANET CLARK Carmel Clay Parks Recreation
1023 BIRNAMWOOD TRAIL 1235 Central Park Drive East
INDIANAPOLIS IN 46280 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 75.00
Enrollee Name. Janet Clark 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 Co Descri Account Number Cst Cntr Description 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 09:57.48 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 FROMCANCELLED 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
Page 1
ACTIVITY REFUND RECEIPT
Receipt 144239
Payment Date: 07/03/08
Household 18378
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 re nds.
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6` 6
1 I"fl
uthorized 5' ure Date Authorized Signature Date
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JUL 4 8 2008
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137:
Page 9 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.
Clark, Janet Terms
1023 Birnamwood Trail Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/3/08 144239 Refund 75.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Clark, Janet Allowed 20
1023 Birnamwood Trail
Indianapolis, IN 46280
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 144239 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 Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund