160861 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: T361456 Page 1 of 1
t= ONE CIVIC SQUARE HEATHER FRABUTT
0 CHECK AMOUNT: $72.00
CARMEL, INDIANA 46032 21804 MORTON ROAD
CARMEL IN 46032
CHECK NUMBER: 160861
CHECK DATE: 6/25/2008
L� j -.PARTMENT ACCOUNT PO NUMBER INVOICE NU MBER A DESCRIPTI
1047 4358400 72.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 127941
Payment Date: 06/10/2008
Household 19044
Home Phone: (317)645 -7429
Work Phone:
HEATHER FRABUTT Monon Center
21804 MORTON RD Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 72.00
Pass Holder: Heather Frabutt Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Vu KZ Mem50 (VKZM50), #26712 3.00 0.00 3.00 0.00 0.00
Valid Dates: 06/03/2008 to 12/31/2099 Pass Cancellation)
Pass Visit Info: Number of Visits: 48
Fee Details: F Descri ption Am ount Count_ Discount Sales Tax Total Fee
Value KidZone Member 3.00 1.00 0.00 0.00 3.00
Cancel Reason: no longer working at the Monon Center
G/L Code Description Acc ount Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 72.00 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 06110/08 12:10:03 by EDR FEES CHANGED ON CANCELLED ITEMS 72.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET „AMOUNT- FROM;CANCELLED:ITEMS`'
TOTAL AMOUNT kll, 72.00,
JUN 1 1 2008
BY: NEW NET HOUSEHOLD BALANCE 0.00
Refund of 72.00 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 or credit card refunds.
LJ
Authorized Signature Date Authorized Signature Date
Page 1
a
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.
Frabutt, Heather Terms
21804 Morton Rd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
WOMB 127941 Refund 72.QQ
Total 72.00
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.
Frabutt, Heather Allowed 20
21804 Morton Rd
Carmel, IN 46032
In Sum of
72.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 127941 4358400 72.00 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 -Jun 2008
Signature
72.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund