161224 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T361500 Page 1 of 1
0 ONE CIVIC SQUARE MARGO PAISLEY
CARMEL, INDIANA 46032 2706 N BOSWORTH AVE CHECK AMOUNT: $5.00
te CHICAGO IL 60614
CHECK NUMBER: 161224
CHECK DATE: 7/812008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 137142 5.00 REFUNDS AWARDS INDE
a�
ACTIVITY REFUND RECEIPT
Receipt 137142 REr-'„1; —'TV T-)
Payment Date: 06/23/2008
Household 19516 JUN 2 4 2008
Home Phone: (773)909 -3709
Work Phone:
MARGOT PAISLEY Carmel Clay Parks Recreation
2706 N BOSWORTH AVE 1235 Central Park Drive East
CHICAGO IL 60614 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 5.00
Enrollee Name: Madeleine Levy Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186118 -02 Play Date East 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/15/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Carey Grove Park Class Dates: 06/23/2008 to 06/23/2008
Carey Grove Park 10:OOA to 11:OOA
14001 N. Carey Road M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
G/L Code Description Acc ount Nu Cs Cntr Descri Account Numb Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 5.00 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 06/23/08 09:33:46 by CNA FEES CHANGED ON CANCELLED ITEMS 5.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 5.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 5.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
r ACTIVITY REFUND RECEIPT
Receipt 1II7
Payment Date: 0 /23
Household 1 5165N 2 4 2008
B Ye_
All refunds are subject to State Board of Accounts claim proced e and may take -6 we s process. A check will be
issued. No cash or credit card refunds.
Authorized Signature Date Authorized Signatu 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.
Paisley, Margot Terms
2706 N Bosworth Ave Date Due
Chicago, IL 60614
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/23/08 137142 Refund 5.00
Total 5.00
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.
Paisley, Margot Allowed 20
2706 N Bosworth Ave
Chicago, IL 60614
In Sum of
5.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 137142 4358400 5.00 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
27 -Jun 2008
Signature
5.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
'0 ENT ERED