158001 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: T361074 Pane 1 of 1
ONE CIVIC SQUARE LAWRENCE KEHOE
CARMEL, INDIANA 46032 5834 STONE PINE TRAIL CHECK AMOUNT: $178.00
CARMEL IN 46033 CHECK NUMBER: 158001
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 99388 178.00 REFUNDS AWARDS INDE
r;.
ACTIVITY REFUND RECEIPT
1
Receipt 99388
Payment Date: 03/10/2008
Household 9684 R A VED
Home Phone: (317)569 -8150
Work Phone: MAR 2 5 2008
LAWRENCE KEHOE Monon Center
s 5834 STONE PINE TRAIL Carmel IN 46032
CARMEL, IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
Enrollee Name: Moira Kehoe Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 407002 -52 PT 4 -5 Days/Wk separ 51.00 0.00 51.00 0.00 0.00
Enrollment Date: 03/10/2008 (Enrolled Transfer from 407001 -16 (PT Monthly Before /Af))
Class Location: Prairie Trace Elem Class Dates: 03/03/2008 to 03/07/2008
Prairie Trace Elemen 2:35P to 6:OOP
14200 North River Road M,Tu,W,Th,F
Carmel, IN 46033
(317)848 -7275 Scheduled Sessions: 5
Activity Comments: Enjoy Your Escape!
Fee Details: Fee Description Am ount Count Discount Sales T ax Total Fe e
PT 4 -5 Weekly PM 51.00 1.00 0.00 0.00 51.00
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/10/08 13:11:21 by JAS NET FROM/TO TRANSFER FEES 178.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
NET FROM/TO TRANSFER TAX 0.00
.NET.AMOUNT_ FROM ,CHANGED 'ITEMS ��178.00"
TOTAL AMOUNT REFUNDED" ',�178.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 178.00 Made By JOURNAL -RF With Reference
Amount: 51.00 Payment Type: Activity Registration Credit Balance
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
ACTIVITY REFUND RECEIPT
Receipt 99388
Payment Date: 03/10/08
Household 9684
Au d Signature Date Authorized Signature Date
v C, C)
1
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.
Lawrence Kehoe Terms
5834 Stone Pine Trail Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/10/08 99388 Refund 178.00
Total 178.00
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.
Lawrence Kehoe Allowed 20
5834 Stone Pine Trail
Carmel, IN 46033
In Sum of
178.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 99388 4358400 178.00 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 -Mar 2008
Signa ur
178.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund