161824 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361616 Page 1 of 1
0 ONE CIVIC SQUARE MIN JING FOWLER CHECK AMOUNT: $140.00
CARMEL, INDIANA 46032 936 SHEA COURT APT #E
oN `o CARMEL IN 46032 CHECK NUMBER: 161824
CHECK DATE: 7123/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
•1047 4358400 140.00 PARKS DEPARTMENT REFU
i
7 JIUL 1) ACTIVITY REFUND RECEIPT 2008 Receipt 150929
Payment Date: 07/14/2008
Household 14777
Home Phone: (317)708 -3914
Work Phone: (317)
MIN JING FOWLER Carmel Clay Parks Recreation
936 SHEA CT APT E 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
I
Enrollment Details
CANCELLATION Refund Of 70.00
Enrollee Name: Min Jing Fowler Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 189207 -01 Kings Island 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/13/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Parking Lot East Class Dates: 07/15/2008 to 07/15/2008
Monon Center 8:OOA to 10:OOP
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
cancel Reason: low enrollment
CANCELLATION Refund Of 70.00
Enrollee Name: Jiaying Zhou Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 189207 -01 Kings Island 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/13/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Parking Lot East Class Dates: 07/15/2008 to 07/15/2008
Monon Center 8:OOA to 10:OOP
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
cancel Reason: low enrollment
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 140.00 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.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 150929
Payment Date: 07/14/08
Household 14777
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/14/08 09:23:24 by SAC FEES CHANGED ON CANCELLED ITEMS 140.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 140.00
TOTAL AMOUNT REFUNDED 140.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 140.00 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
iss ed. No cash or credit card refunds. V1�4
7q/
/L/ G T
Authorized Signature Date Authorized Signature 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.
Fowler, Min Jing Terms
936 Shea Ct Apt E Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/14/08 150929 Refund 140.00
Total Is 140.00
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.
Fowler, Min Jing Allowed 20
936 Shea Ct Apt E
Carmel, IN 46032
In Sum of
140.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 150929 4358400 140.00 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
18 -Jul 2008
Signature
140.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund