161225 07/08/2008 f CITY OF CARMEL, INDIANA VENDOR: T361502 Page 1 of 1
ONE CIVIC SQUARE BIJAY PATHAK
CARMEL, INDIANA 46032 1309'N PARK AV CHECK AMOUNT: $60.00
INDPLS IN 46280 CHECK NUMBER: 161225
CHECK DATE: 7/8/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 133633 60.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 133633
Payment Date: 06/17/2008
Household 18247
Home Phone: (317)569 -8497 JUN 2 3 2008
Work Phone:
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BIJAY PATHAK Carmel Clay Parks Recreation
1309 N PARK AVENUE 1235 Central Park Drive East
INDIANAPOLIS IN 46280 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 60.00
Enrollee Name: Sindhu Pathak Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186342 -01 Hip Hop 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/14/2008 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location: Dance Studio Class Dates: 06/19/2008 to 08/07/2008
Monon Center 6:45P to 7:30P
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Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: low enrollment
G/L Code Description Acc ount Number Cst Cntr Description Acco Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 60.00 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 06/17/08 09:29:54 by BJC FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 60.00
TOTAL AMOUNT REFUNDED 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By JOURNAL -RF With Reference low enrollment
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ACTIVITY REFUND RECEIPT
Receipt 133633
Payment Date: 06/17/08
Household 18247
All refunds are subject to State Board of Accounts claim procedure and m ake 4- eeks to process. A check will be
issued. No cash or credit card refunds.
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Autho ized Signature Date Authorized Signatur Date
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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.
Pathak, Bijay Terms
1309 N Park Avenue Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6117108 133633 Refund 60.00
Total 60.00
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.
Pathak, Bijay Allowed 20
1309 N Park Avenue
Indianapolis, IN 46280
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 133633 4358400 60.00 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
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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