157474 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: T360994 Page 1 of 1
ONE CIVIC SQUARE SUSAN FORD CHECK AMOUNT: $60:00
CARMEL, INDIANA 46032 17060 KINGSBRIDGE BLVD
off Vi a_? WESTFIELD IN 46074 CHECK NUMBER: 157474
4. CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 60.00 PARKS DEPARTMENT REFU
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ACTIVITY REFUND RECEIPT
Rgceiv�# 98630 CE° IVEID
Payment Date: 03/06/2008
Household 14681 MAR 1 0 2008
Home Phone: (714)418 -7859
Wdrk Phone: (317)715 -7803
rBY:
SUSAN FORD Carmel Clay Parks Recreation
17060 KINGSBRIDGE BLVD 1235 Central Park Drive East
WESTFIELD, IN 46074 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 60.00
Enrollee Name: Evie Ford Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 386327 -02 Jazz 16-8 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/03/2008 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location: Dance /Fitness Room Class Dates: 03/10/2008 to 04/28/2008
Monon Center 7:15P to 7:45P
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: IOW enrollment
G/L Code Descri Acco Number Cst C ntr Descrip Account N Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 60.00 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 03/06/08 09:34:10 by BJC FEES CHANGED ON CANCELLED ITEMS 60.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 60.00-
TOTAL AMOUNT REFUNDED 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 60.00 Made By JOURNAL -RF With Reference low enrollment
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ACTIVITY REFUND RECEIPT
Receipt 98630
Payment Date: 03/06/08
Household 14681
All refunds are subject to State Board of Accounts claim procedure and y take 4 6 e s to process. A check will be
issued. No cash or credit card refunds.
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Authorized Signature Date Authorize i natur i
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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.
Susan Ford Terms
17060 Kingsbridge Blvd. Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/08 98630 Refund 60.00
Total 60.00
I 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.
y Susan Ford Allowed 20
17060 Kingsbridge Blvd.
Westfield, IN 46074
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 98630 4358400 60.00 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
12 -Mar 2008
S gn�'r
60.00 Business S ices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund