155724 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: T357720 Page 1 of 1
ONE CIVIC SQUARE BETTY FINK CHECK AMOUNT: $21.00
CARMEL, INDIANA 46032 10419 HIGH GROVE DRIVE
CARMEL IN 46032 CHECK NUMBER: 155724
CHECK DATE: 1123/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 81057 21.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 81057
Payment Date: 01/03/2008
Household 14600 JAN 0 9 2008
Home Phone: (317)574 -0407
Work Phone: By
BRETT FINK Carmel Clay Parks Recreation
10419 HIGH GROVE 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 21.00
Enrollee Name: Alexis Fink Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 386446 -01 Literature and Book 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/01/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room A Class Dates: 01/09/2008 to 04/30/2008
Monon Center 5:OOP to 6:OOP
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Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 17
Cancel Reason: low enrollment
GIL Code Description Account Number Cst Cntr De Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 21.00 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 01/03/08 11:44:13 by BJC FEES CHANGED ON CANCELLED ITEMS 21.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS`
TOTAL AMOUNT REFUNDED r' 21.00.
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 21.00 Made By JOURNAL -RF With Reference low enrollment
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ACTIVITY REFUND RECEIPT
Receipt 81057
Payment Date: 01/03/08
Household 14600
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 w �ks to process. A check will be
issued. No cash or credit card refunds. ly
A thori ed Signature Date Authorized Signature Date
-c'
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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.
Betty Fink Terms
10419 High Grove Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/3/08 81057 Refund 21.00
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Total 21.00
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
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Voucher No. Warrant No.
,r. Betty Fink Allowed 20
10419 High Grove Dr.
Carmel, IN 46032
In Sum of
21.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 81057 4358400 21.00 1 hereby certify that the attached invoice(s), or
bill( is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
16 -Jan 2008
Si t e
21.00 Business Se s Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund