157929 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: T361072 Page 1 of 1
ONE CIVIC SQUARE KELLY FORAKER
CARMEL, INDIANA 46032 406 SHOEMAKER DR CHECK AMOUNT: $20.00
CARMEL IN 46032 CHECK NUMBER: 157929
CHECK DATE: 41112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 99468 20.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
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ipt 99468
ayment Date: 03/11/2008 RE
Household 14878
Home Phone: (317)810 -9363
Work Phone: (317)810 -9363 MAR 1 7 2008
By:- 3b a,,-vm
KELLY FORAKER Carmel Clay Parks Recreation
406 SHOEMAKER DR. 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 20.00
Enrollee Name: Robby Foraker Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 386215 -02 Sporties for Shortie 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/06/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium C Class Dates: 03/05/2008 to 03/26/2008
Monon Center 1:OOP to 1:45P
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason. anxiety In class
G/L Code_ Description Accou N umber Cst Cntr Descri Account Numb Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 20.00 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 03/11/08 05:22:37 by BJC FEES CHANGED ON CANCELLED ITEMS 20.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 20.00
TOTAL AMOUNT REFUNDED 20:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 20.00 Made By JOURNAL -RF With Reference anxiety in class
Page 1
ACTIVITY REFUND RECEIPT
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Receipt 99468
,4 Payment Date: 03/11/08
Household 14878
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 eks to process. A check will be
issued. No cash or credit and refunds.
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AedKorized 91 �gri ate
ature D Authorized Signature e
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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.
Kelly Foraker Terms
406 Shoemaker Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/11/08 99468 Refund 20.00
Total 20.00
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
Voucher No. Warrant No.
Kelly Foraker Allowed 20
406 Shoemaker Dr.
Carmel, IN 46032
In Sum of
20.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 99468 4358400 20.00 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
24 -Mar 2008
Sig tices e
20.00 Busin ss Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund