161912 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361622 Page 1 of 1
0 ONE CIVIC SQUARE SHELLEY KELLEY CHECK AMOUNT: $31.25
CARMEL, INDIANA 46032 13450 BECHWITH DRIVE
WESTFIELD IN 46074 CHECK NUMBER: 161912
CHECK DATE: 7/23/2008
DEPARTM ACC OUNT PO NUMBER INV NUMBER AMOUNT DESCRIPT
1046 4358400 31.25 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 154343
Payment Date: 07/16/2008 RE C
Household 6753
Home Phone: (317)733 -2459 JUL 1 7 2008
Work Phone: (317)
BY:
SHELLEY KELLEY Monon Center
13450 BECKWITH DRIVE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 31.25
Enrollee Name: Kimsey Kelley Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476009 -18 Skyhawks Sports 93.75 0.00 93.75 0.00 0.00
Enrollment Date: 06/06/2008 (Cancelled)
Class Location: Clay Junior High Sch Class Dates: 07/14/2008 to 07/18/2008
Clay Junior High Sch 9:OOA to 12:OOP
5150 East 126th Street M,Tu,W,Th,F
Carmel, IN 46033
(317)848 -7275 Scheduled Sessions: 5
Fee Details: Fee Descripti Amount Count Discount Sales T ax Total Fee
Skyhawks Sports Resi 93.75 1.00 0.00 0.00 93.75
Cancel Reason: camper was unable to attend tennis camp during the wwek of July 14th
G/L Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 31.25 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 07/16/08 13:09:20 by JAS FEES CHANGED ON CANCELLED ITEMS 31.25
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET:AMIOUNTarF.ROWCANCELLEDITEMS ''h E 31.25
'TOTAL AMOUNT,REFUNDED ;'4' 31.25
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 31.25 Made By REFUND FINAN With Reference day camp refund
Page 1
ACTIVITY REFUND RECEIPT
Receipt 154343
Payment Date: 07/16/08
Household 6753
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No Ifpsh or credit card refunds. o
-4'
Autho 'Qe ignature Date Authorized Signature Date
O JUL 1 7 2008
Y bk cl
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
Kelley, Shelley Purchase Order No.
13450 Beckwith Drive Terms
Westfield, IN 46074 Date Due
F
Invoice Invoice
Date Description
Number (or note attached invoice(s) or bill(s))
7/16/08 154343 Refund Amount
31.25
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
rte'
Voucher No. Warrant No.
Kelley, Shelley Allowed 20
13450 Beckwith Drive
Westfield, IN 46074
In Sum of
31.25
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 154343 4358400 31.25 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 -Jul 2008
Signature
31.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund