159351 05/14/2008 ,\wf CITY OF CARMEL, INDIANA VENDOR: T361233 Page 1 of 1
ONE CIVIC SQUARE YORIKO FUNKE
CARMEL, INDIANA 46032 10216 BOSLOE DR CHECK AMOUNT: $225.00
CARMEL IN 46032 CHECK NUMBER: 159351
CHECK DATE: 511412008
S
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 225.00 REFUNDS AWARDS INDE
t
a' ACTIVITY REFUND RECEIPT
Receipt 110899
Payment Date: 04/28/2008
Household 1605
Home Phone: (317)334 -9452
Work Phone:
YORIKO FUNKE Carmel Clay Parks Recreation
10216 BOSLOE 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 225.00
Enrollee Name: Celene Funke Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -40 Vacation Station 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02/15/2008 (Cancelled)"
Class Location: College Wood Elem Class Dates: 06/02/2008 to 08/01/2008
College Wood Element 7:OOA to 6:OOP
12415 Shelbourne Road M,Tu,W,Th,F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 45
Cancel Reason: switched from full summer to ind rates
G/L Code_ Des-cription Accou N umber Cst Cntr Description _Accou Nu mber Amou
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 225.00 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 900.00
Processed on 04/28/08 10:59:09 by LAA FEES CHANGED ON CANCELLED ITEMS 1,125.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 1,125.00
HH BALANCE APPLIED TO THIS RECEIPT 900.00
TOTAL AMOUNT REFUNDED 225.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 225.00 Made By JOURNAL -RF With Reference FAPR W S 2 008
ge 1 1
i
ACTIVITY REFUND RECEIPT
Receipt 110899
Payment Date: 04/28/08
Household 1605
All refunds re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N cash or credit card refunds.
y .q
A thorize Signature Date Authorized Signature Date
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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.
Yoriko Funke Terms
10216 Bosloe Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4128108 110899 Refund 225.00
Total 225.00
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.
Yoriko Funke V-t Allowed 20
10216 Bosloe Dr. ja}-r b-ye
Carmel, IN 46032
In Sum of
225.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1046 110899 4358400 225.00 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
1 -May 2008
Signature
225.00 Business Servi e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund