161225 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T359894 Page 1 of 1
ONE CIVIC SQUARE KRIS PATTERSON CHECK AMOUNT: $23.00
CARMEL, INDIANA 46032 13450 wINAMAC CT
CARMEL IN 46032 CHECK NUMBER: 161226
CHECK DATE: 7/8/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 133631 23.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
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Receipt 133631 JUN 2 3 2008
Payment Date: 06/17/2008
Household 17637
Home Phone: (317)815 -9036 Y:
Work Phone:
KRIS PATTERSON Carmel Clay Parks Recreation
13450 WINAMAC COURT 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 23.00
Enrollee Name: Lauren Patterson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186352 -01 Wear Your Creations 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/23/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room C Class Dates: 06/19/2008 to 07/17/2008
Monon Center 5:OOP to 6:OOP
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Carmel, IN 46032 Skip Days 07/03/2008
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: low enrollment
G/L C ode Des cription _Accou Numb Cst C ntr Descriptio Ac count N umbe r Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 23.00 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 06/17108 09:28:42 by BJC FEES CHANGED ON CANCELLED ITEMS 23.00
DISCOUNT APPLIED AGAINST CANCELLED FEES
SALES TAX CHARGED ON CANCELLED FEES 0:00
NET AMOUNT FROM CANCELLED ITEMS 23.00
TOTAL AMOUNT REFUNDED 23.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 23.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 133631
Payment Date: 06/17/08
Household 17637
All refunds are subject to State Board of Accounts claim procedure and ma take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
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Authorized ure Date Authorized Signature Da e
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Page #2
r 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.
Patterson, Kris Terms
13450 Winamac Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17108 133631 Refund 23.00
Total 23.00
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.
Patterson, Kris Allowed 20
13450 Winamac Court
Carmel, IN 46032
In Sum of
23.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1041 133631 4358400 23.00 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
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Signature
23.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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