163289 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: T361794 Page 1 of 1
ONE CIVIC SQUARE KAREN LYLES
CARMEL, INDIANA 46032 8631 LEPART CT CHECK AMOUNT: $250.00
INDIANAPOLIS IN 46278 CHECK NUMBER: 163289
CHECK DATE: 9/312008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMB AMOUNT DESCRIPTION
1047 4358400 181159 250.00 REFUNDS AWARDS INDE
I
I
t FACILITY REFUND RECEIPT
WR ICEIVD
Receipt 181159 AUG 2 8 2008
Payment Date: 08/26/2008
Household 20689 BY:
Home Phone: (317)513 -4431
Work Phone:
KAREN LYLES
Monon Center
8631 LEPART CT. Carmel IN 46032
i
INDIANAPOLIS IN 46278
Phone: (317)848 -7275
Fed Tax I D #35- 6000972
Facility Reservation Details
RESERVATION CHANGE Refund Of 250.00
Facility: Monon Center, Party Room B
Reserv, Contact: Karen Lyles, HM: (317)513 -4431
Reserv. Number: 5710 Status: Firm
Purpose: Clarence Bday Party
Anticipated Count: 12
Date Day Time Fees Tax Discount Prev Paid Cur Paid Amount Due
08123/2008 Sat 3:30P to 5:30P 0.00 0.00 0.00 -0.00 0.00
Fee Details. Fee D escription__ Amount Count Discou Sales Ta x Tot Fee
Party Room Res 0.00 1.00 0.00 0.00 0.00
G/L Code Description Accou Number Cst_Cntr Description Account Numb Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 250.00 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 08/26/08 14:10:56 by EDR FEES ADJUSTED ON CHANGED ITEMS 250.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NET AMOUNT'FROM CHi4NGED�ITEMS:
250:00
TOTAL AMOUNT REFUNDED
250:00,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 250.00 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
Page 1
FACILITY REFUND RECEIPT
Receipt 181159
Payment Date: 08/26/08
Household 20689
The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are
left at zero for reservation purposes, but will be updated after the reservation date. As soon as this data is available, you will
be in e r the current amount due. Please remit to our office within 10 days of the invoice date.
Authorized ignature Date Authorized Signature Date
f
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.
Lyles, Karen Terms
8631 Lepart Ct Date Due
Indianapolis, In 46278
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8126/08 181159 Refund 250.00
Total 250.00
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.
Lyles, Karen Allowed 20
8631 Lepart Ct
Indianapolis, In 46278
In Sum of
250.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 181159 4358400 250.00 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
28 -Aug 2008
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund