155797 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: T360725 Page 1 of 1
ONE CIVIC SQUARE KRYSTEN LAFEVER
CARMEL, INDIANA 46032 720 HOMEWOOD DR CHECK AMOUNT; $46.40
INDPLS IN 45280 CHECK NUMBER: 155797
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1 4358400 82515 46.40 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
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Receipt# 82515_
Payment Date: 01/08/2008
Hogsehold 11334
Home Phone: (317)506 -4177 L BY' 1 AS; 0 S 2008
Work Phone: (317)867 -4393
Z 2- Gl a �nno
KRYSTEN LAFEVER Carmel Clay Parks Recreation
720 HOMEWOOD DR. 1235 Central Park Drive East
INDIANAPOLIS, IN 46280 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
Enrollee Name: Brooke Bondurant Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 406004 -01 OP Monthly Weekly 170.00 0.00 170.00 0.00 0.00
Enrollment Date: 01/08/2008 (Enrolled Transfer from 406008 -03 (OP Yearly AD (both)))
Class Location: Orchard Park Elem Class Dates: 08/14/2007 to 08/31/2007
Orchard Park Element 7:OOA to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 14
Activity comments: Enjoy Your Escape!
Fee Details: Fee Description Amount Count Discount Sales Tax Totali Fe
OP August AM PM 170.00 1.00 0.00 0.00 170.00
Enrollee Name: Brooke Bondurant Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 406004 -08 OP Monthly Weekly 230.00 0.00 230.00 0.00 0.00
Enrollment Date: 01/08/2008 (Enrolled Transfer from 406008 -06 (OP Yearly AD (both)))
Class Location: Orchard Park Elem Class Dates: 09/04/2007 to 09/29/2007
Orchard Park Element 7:OOA to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 19
Fee Details: Fee Description Amount Count. Discount Sales Tax Totall Fee
OP September AM PM 230.00 1.00 0.00 0.00 230.00
Enrollee Name: Brooke Bondurant Fees Tax Discount rev Paid Cur Paid Amount Due
Activity Number: 406004 -17 OP Monthly Weekly 267.00 0.00 267.00 0.00 0.00
Enrollment Date: 01/08/2008 (Enrolled Transfer from 406008 -09 (OP Yearly AD (both)))
Page 1
ACTIVITY REFUND RECEIPT
r Receipt 82515
Payment Date: 01/08/08
Household 11334
Class Location: Orchard Park Elem Class Dates: 10/01/2007 to 11/02/2007
Orchard Park Element 7:OOA to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 25
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
OP October AM PM 267.00 1.00 0.00 0.00 267.00
Enrollee Name: Brooke Bondurant Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 406004 -27 OP Monthly Weekly 218.00 0.00 218.00 0.00 0.00
Enrollment Date: 01/08/2008 (Enrolled Transfer from 406008 -12 (OP Yearly AD (both)))
Class Location: Orchard Park Elem Class Dates: 11/05/2007 to 11/30/2007
Orchard Park Element 7:OOA to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th, F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 20
Fee Details: Fee Description Amount Count Discount _S ales Tax Total Fee
OP November AM PM 218.00 1.00 0.00 0.00 218.00
Enrollee Name: Brooke Bondurant Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 406004 -35 OP Monthly Weekly 182.00 0.00 182.00 0.00 0.00
Enrollment Date: 01/08/2008 (Enrolled Transfer from 406008 -15 (OP Yearly AD (both)))
Class Location: Orchard Park Elem Class Dates: 12/03/2007 to 12/21/2007
Orchard Park Element 7:OOA to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 15
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
OP December AM PM 182.00 1.00 0.00 0.00 182.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 4.90
Processed on 01/08/08 07:01:59 by JEH NET FROM/TO TRANSFER FEES 41.50
DISCOUNT APPLIED AGAINST THESE FEES 0.00
NET FROM/TO TRANSFER TAX 0.00
NET AMOUNT FROM CHANGED ITEMS 41.50
HR BALANCE APPLIED TO THIS! RECEIPT 4.90
TOTAL AMOUNT REFUNDED
NEW NET HOUSEHOLD BALANCE 0.00
Page 2
ACTIVITY REFUND RECEIPT
Receipt 82515
Payment Date: 01/08/08
Household 11334
Refund Type: Refund from Finance
Refund of 46.40 Made By JOURNAL -RF With Reference
Amount: 1 67.00 Payment Type: Activity Registration Credit Balance
All refunds re subject to State Board of Accounts claim procedure and may take 4-6 weeks to process. A check will be
issued. No sh or credit card refunds.
Au on signature Date Authorized Signature Date
J 0
01
Page 3
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
t
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.
Krysten Lafever Terms
720 Homewood Dr, Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/8/08 82515 Refund 46.40
Total 46.40
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
r
�S
Voucher No. Warrant No.
Krysten Lafever Allowed 20
720 Homewood Dr.
Indianapolis, IN 46280
In Sum of
46.40
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 82515 4358400 46.40 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
16 -Jan 2008
Sig ur
46.40 Business Se Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund