158981 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361209 Page 1 of 1
ONE CIVIC SQUARE CHARLES LEPRICH
s CHECK AMOUNT: $97.00
CARMEL, INDIANA 46032 13460 VERSAIALLES DR
o `o CARMEL IN 46032 CHECK NUMBER: 158981
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1047 4358400 97.00 PARKS DEPARTMENT REFU
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a
ACTIVITY REFUND RECEIPT
Receipt 103899
Payment Date: 04/01/2008
Household 16453
Home Phone: (317)818 -0701
Work Phone: APR L32008
i3Y:
CHARLES LEPRICH Carmel Clay Parks Recreation
13460 VERSAIALLES 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 97.00
Enrollee Name: Lauren Leprich Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 385308 -10 Beginner Gymnastics 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/1312008 (Cancelled)
Primary Instructor: Gene Watson
Class Location: Indy School of Gymn Class Dates: 03/17/2008 to 04/21/2008
Gymnastics 4:OOP to 4:55P
9850 Mayflower Park Drive M
Carmel, IN 46032
Scheduled Sessions: 6
Cancel Reason: wrong child enrolled
G C Description Account Number__ Cst Cntr_. Description_ Account Number-------
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 97.00 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 04/01/08 07:33:50 by BJC FEES CHANGED ON CANCELLED ITEMS 97.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 97.00-
TOTAL AMOUNT REFUNDED 97.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 97.00 Made By JOURNAL -RF With Reference wrong child enrolled
Page 4 1
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r 4
ACTIVITY REFUND RECEIPT
Receipt 103899
Payment Date: 04/01/08
Household 16453
r
All refunds are subject to State Board of Accounts claim procedur and ty take ks to process. A check will be
issued. No cash or credit card refunds.
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Authorized Signature Date A h nzed Signa bLte
C FINED'
g 3vo 5��(�Ll� APR232008
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.
Charles Leprich Terms
13460 Versaialles Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/08 103899 Refund 97.00
Total 97.00
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
c)ucher No. Warrant No.
Charles Leprich Allowed 20
13460 Versaialles Dr
Carmel, IN 46032
In Sum of
97.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/T1TLE AMOUNT Board Members
Dept
1047 103899 4358400 97.00 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
24-Apr 2008
Signature
97.00
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund AP C yd