160430 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: T361379 Page 1 of 1
ONE CIVIC SQUARE ERICA KETCHAM
0 CARMEL, INDIANA 46032 520 RICHLAND WAY
CHECK AMOUNT: $24.00
+nEsTFieLD IN 46074 CHECK NUMBER: 960430
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 123210 24.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 123210
Payment Date: 06/02/2008
Household 3914
Home Phone: (317)569 -8941
Work Phone:
ERICA KETCHAM Carmel Clay Parks Recreation
520 RICHLAND WAY 1235 Central Park Drive East
WESTFIELD IN 46074 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 24.00
Enrollee Name: Ellie Ketcham Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186206 -01 Safety First 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/03/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room A Class Dates: 06/05/2008 to 06/26/2008
Monon Center 10:OOA to 11 .00A
Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4 xKECEIVED
JUN 0 9 2008
Cancel Reason: low enrollment
BY:
G/L Code Description A ccount Number Cst Cntr Description Account N Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 24.00 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 06102/08 16:12:31 by CNA FEES CHANGED ON CANCELLED ITEMS 24.00
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 24.00
TOTAL AMOUNT REFUNDED 24.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 24.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 123210
Payment Date: 06/02/08
Household 3914
All refunds are subject to State Board of Accounts claim procedur and ma ke 4- s cess. A check will be
issued. No cash or credit card refunds.
Aut orized Signature Date Authori a Signat a Date
�T 300. $bo YOCJA
�EIVED
JUN 0 9 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.
Ketcham, Erica Terms
520 Richland Way Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6!2108 123210 Refund 24.00
Total 24.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Ketcham, Erica Allowed 20
520 Richland Way
Westfield, IN 46074
In Sum of
24.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1047 la iC7 4358400 24.00 I 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
9 -Jun 2008
Signature
24.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund