164231 09/30/2008 f CITY OF CARMEL, INDIANA VENDOR: T361898 Page 1 of 1
ONE CIVIC SQUARE XIURONG FENG
CARMEL, INDIANA 46032 3229 DUNWOODY LANE CHECK AMOUNT: $65.50
CARMEL IN 46033 CHECK NUMBER: 164231'
CHECK DATE: 9/3012008
DEPARTM ACC PO N INVOICE NUMBER AMO UNT DESCRIPTION
i 1047 4358400 65.50 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 140615 f E C r v IVD
Payment Date: 06/27/2008
Household 18952 SEP 2 2 2008
Home Phone: (317)816 -0370
Work Phone: (317)844 -7559
BY:
XIURONG FENG Carmel Clay Parks Recreation
3229 DUNWOODY LANE 1235 Central Park Drive East
CARMEL IN 46033 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 58.00
Enrollee Name: Jimmy Zhao Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 183009 -02 Dolphin Level 5 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 06/02/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Outdoor Lap Pool 2 Class Dates: 07/21/2008 to 08/01/2008
Monon Center 10:OOA to 10:45A
M,Tu,W,Th,F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Fee Details: Fee Descri Amount Count Discount Sales Tax Total Fee
Dolphin Resident 0.00 1.00 0.00 0.00 0.00
Dolphin Resident 7.00 1.00 0.00 0.00 7.00
Cancel Reason: vacation
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 65.50 DR J
The REVENUE account was DEBITED and the CONTROL account wasCRED!TED 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 CREDIT HOUSEHOLD BALANCE 7.50
Processed on 06/27/08 15:58:23 by KLS FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00-
NET „eAMOUNTiFROMpCANCELLEDtITEMS 1: 58':00-
HH BALANCE APPLIED TO THIS RECEIPT 7.50
i.TOTALrAMOUNT REF,UNDEDC, t ,05,50.
NEW NET HOUSEHOLD BALANCE 0.00
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ACTIVITY REFUND RECEIPT
Receipt 140615
Payment Date: 06/27/08
Household 18952
Refund of 65.50 Made By JOURNAL -RF 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.
Authorized Signature Date Au orized gn lure Date
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.
Feng, Xiurong Terms
3229 Dunwoody Lane Date Due
Carmel, In 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/27/08 140615 Refund 65.50
Total Is 65.50
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
I
Vouchdr No. Warrant No.
Feng, Xiurong Allowed 20
3229 Dunwoody Lane
Carmel, In 46033
In Sum of
65.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 140615 4358400 65.50 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
23 -Sep 2008
Signature
65.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund