160972 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: T361463 Page 1 of 1
ONE CIVIC SQUARE KENDRA MATTHEWS CHECK AMOUNT: $443.00
CARMEL, INDIANA 46032 C/O PARKS DEPT
CHECK NUMBER: 160972
CHECK DATE: 6/2512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 443.00 PARKS DEPARTMENT REFU
f
ACTIVITY REFUND RECEIPT
Receipt 133822
Payment Date: 06/17/2008
Household 15902
Home Phone: (317)810 -9562
Work Phone: (317)510 -7352
KENDRA MATTHEWS Monon Center
12840 UNIVERSITY CREST #26 Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 143.00
Enrollee Name: Kalynd Matthews Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -24 Vacation Station 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 06/01/2008 (Cancelled)
Class Location: West Clay Elementary Class Dates: 06/23/2008 to 06/27/2008
West Clay Elementary 7:OOA to 6:OOP
3495 W. 126th St. M,Tu,W,Th,F
Carmel, IN 46032
(317)844 -9961 Scheduled Sessions: 5
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Vacation Station Res 7.00 1.00 0.00 0.00 7.00
Cancel Reason: staff promised that friend /relative had spot in camp needed to attend with that individual
friend /relative did not have a spot in the camp
CANCELLATION Refund Of 150.00
Enrollee Name: Kalynd Matthews Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -28 Vacation Station 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06101/2008 (Cancelled)
Class Location: West Clay Elementary Class Dates: 07/21/2008 to 07/25/2008
West Clay Elementary 7:OOA to 6:OOP
3495 W. 126th St. M,Tu,W,Th,F
Carmel, IN 46032
(317)844 -9961 Scheduled Sessions: 5
cancel Reason: staff promised that friend /relative had spot in camp needed to attend with that individual
friend /relative did not have a spot in the camp
CANCELLATION Refund Of 150.00
Enrollee Name: Kalynd Matthews Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -29 Vacation Station 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/01/2008 (Cancelled)
Page 1
ACTIVITY REFUND RECEIPT
Receipt 133822
Payment Date: 06/17/08
Household 15902
Class Location: West Clay Elementary Class Dates: 07/28/2008 to 08/01/2008
West Clay Elementary 7:OOA to 6:OOP
3495 W. 126th St. M,Tu,W,Th,F
Carmel, IN 46032
(317)844 -9961 Scheduled Sessions: 5
Cancel Reason: staff promised that friend /relative had spot in camp needed to attend with that individual
friend /relative did not have a spot in the camp
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 443.00 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 12:57:03 by BJJ FEES CHANGED ON CANCELLED ITEMS 450.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET.YAMOUNT�FROM CANCELLEDilTEMSAW 1 443.00'
TOTAUtAMOUNT REFUNDED 443.00•,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 443.00 Made By JOURNAL -RF With Reference
All refund are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N cash or credit card ref ds.
At oriz ignature Date Authorized Signature Date
REC:EWED
1 O JUN 1 8 2008
BY.
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.
Matthews, Kendra Terms
12840 University Crest 213 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/08 133822 Refund 443.00
Total 443.00
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.
Matthews, Kendra Allowed 20
12840 University Crest 2B
Carmel, IN 46032
In Sum of
443.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 133822 4358400 443.00 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
18 -Jun 2008
,L�Y��'Y1JYl7P,2
Signature
443.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund