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161205 07/08/2008 «�44 CITY OF CARMEL, INDIANA VENDOR: T361484 Page 1 of 1 ONE CIVIC SQUARE MAXINE CLARRSON CHECK AMOUNT: $35.00 „o CARMEL, INDIANA 46032 354 N 9TH ST aas� NOBLESVILLE IN 46060 CHECK NUMBER: 161205 CHECK DATE: 7/812008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 141449 35.00 REFUNDS AWARDS TNDE ACTIVITY REFUND RECEIPT Receipt 141449 Payment Date: 06/30/2008 Household 19284 Home Phone: (317)289 -7699 Work Phone: MAXINE CLARRSON Carmel Clay Parks Recreation 354 N. 9TH STREET 1235 Central Park Drive East NOBLESVILLE IN 46060 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 35.00 Enrollee Name: Maxine ClarrSon Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 189002 -01 Family Campout 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 06/09/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: West Park Shelter Class Dates: 06/13/2008 to 06/14/2008 West Park 4:30P to 9:OOA 2700 W. 116th St. F,Sa Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 2 Cancel Reason: unable to attend rain date G/L Code Descri Account Numbe Cst Cntr Description Account Number Amoun 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 35.00 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 06/30/08 11:36:40 by DMM FEES CHANGED ON CANCELLED ITEMS 35.00 DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 35:00 TOTAL AMOUNT REFUNDED 35:00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 35.00 Made By JOURNAL -RF With Reference unable to attend FY: 2 2008 Page 1 ACTIVITY REFUND RECEIPT Receipt 141449 Payment Date: 06/30/08 Household 19284 All refunds are subject to State Board of Accounts claim procedure an ay take 4 -6 weeks to process. A check will be issued. No cash or credit card refunds. 7 (L(S� I�Ze ���J o Authorized S nature Date Authorize ignatu Date 7 5, 00 Lf Sh o o JUL 0 2 2008 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. Clarrson, Maxine Terms �5 354 N 9th Street Date Due Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/30/08 141449 Refund 35.00 Total 35.00 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. l Wa'rrant No. Clarrson, Maxine Allowed 20 354 N 9th Street Noblesville, IN 46060 In Sum of 35.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 141449 4358400 35.00 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 2 -Jul 2008 `P?lio�rnrn> Signature 35.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ENURED