161208 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T358838 Page 1 of 1
ONE CIVIC SQUARE SHANELLE CUNNINGHAM
i CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 13455 CLIFTY FALLS DRIVE
CARMEL IN 46032 CHECK NUMBER: 161208
CHECK DATE: 718/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 141873 15.00 REFUNDS AWARDS INDE
t1
l" ACTIVITY REFUND RECEIPT
Receipt 141873
Payment Date: 07/01/2008
Household 2001
Home Phone: (317)569 -9027
W;)rk Phone: (317)446 -7760
SHANELLE CUNNINGHAM Carmel Clay Parks Recreation
13455 CLIFTY FALLS 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 5.00
Enrollee Name: Kylie Cunningham Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186117 -03 Play Date West 0.00 0.00 0.00 0.00 0.00
Enrollment Date. 04/05/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location. West Park Field Class Dates. 07/07/2008 to 07/07/2008
West Park 10:OOA to 11:OOA
2700 W. 116th St. M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
CANCELLATION Refund Of 5.00
Enrollee Name: Stella Cunningham Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186117 -03 Play Date West 0,00 0.00 0.00 0.00 0.00
Enrollment Date: 04/05/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location. West Park Field Class Dates: 07/07/2008 to 07/07/2008
West Park 10:OOA to 11:OOA
2700 W. N 4 th St. M CF _T1,7-E,U
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1 JUL U 2 2008
Cancel Reason: low enrollment
CANCELLATION Refund Of 5.00
Enrollee Name. Chasen Cunningham Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186117 -03 Play Date West 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/05/2008 (Cancelled)
Page 4 1
ACTIVITY REFUND RECEIPT
Receipt 141873
Payment Date: 07/01/08
Household 2001
Primary Instructor: CCPR Staff
Class Location. West Park Field Class Dates: 07107/2008 to 07/07/2008
West Park 10:OOA to 11:00A
2700 W. 116th St. M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions. 1
Cancel Reason: low enrollment
G1L Code Descri Account Number Cst Cntr Descri Account Number A mount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 15.00 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 07/01/08 10:25:40 by CNA FEES CHANGED ON CANCELLED ITEMS 15.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 15.00-
TOTAL AMOUNT REFUNDED 15.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 15.00 Made By REFUND FINAN With Reference low enrollment
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.
&U0tJ P,
Au orized Signature Date Authorized Signature Date
TIALD
F2 2008
Page 2
0' 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.
Cunningham, Shanelle Terms
13455 Clifty Falls Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/08 141873 Refund 15.00
Total 15.00
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.
Cunningham, Shanelle Allowed 20
13455 Clifty Falls Drive
Carmel, IN 46032
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 141873 4358400 15.00 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
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ENTERED