161220 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T356484 Page 1 of 1
ONE CIVIC SQUARE APRIL KLINE
CARMEL, INDIANA 46032 13703 THISTLEWOOD OR E CHECK AMOUNT: $95.00
CARMEL IN 46032 CHECK NUMBER: 161220
CHECK DATE: 718/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 143939 95.00 REFUNDS AWARDS INDE
4
ACTIVITY REFUND RECEIPT
Receipt 143939
Payment Date: 07/02/2008
Household 112
Home Phone: (317)569 -8446
Work Phone: (317)575 -9366
j APRIL KLINE Carmel Clay Parks Recreation
13703 THISTLEWOOD DR. EAST 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 95.00
Enrollee Name: Lydia Kline Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 185308 -12 Beginner Gymnastics 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04111/2008 (Cancelled)
Primary Instructor: Gene Watson
Class Location: Indy School of Gymn Class Dates: 07/07/2008 to 08/11/2008
Gymnastics 6:OOP to 6:50P
9850 Mayflower Park Drive M
Carmel, IN 46032
Scheduled Sessions: 6
Cancel Reason: low enrollment
G IL Code Description Accoun Numb Cst Cntr Description Accoun Rumb Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 95.00 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 07/02/08 15:40:33 by BJC FEES CHANGED ON CANCELLED ITEMS 95.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 95.00
TOTAL AMOUNT,REFUNDED 95:00
CK
NEW NET HOUSEHOLD BALANCE 0.00
C EI` ED
Refund of 95.00 Made By REFUND FINAN With Reference low enrollment
JUL 0 3 2008
-'Y:
Page 1
ACTIVITY REFUND RECEIPT
Receipt 143939
Payment Date: 07/02/08
Household 112
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check wi be
issued. No cash or credit card refunds.
HLvoz
A4 ed Si dture Date Authorized Signature Date
C 4 0
JUL 0 ?Op8
3
Page 2
1
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.
Kline, April Terms
13703 Thistlewood Dr, East Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
712108 143939 Refund 95.00
Total 95.00
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.
Kline, April Allowed 20
13703 Thistlewood Dr. East
Carmel, IN 46032
In Sum of
95.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO #or INVOICE NO. ACCT /TITLE AMOUNT Board Members
Dept
1047 143939 4358400 95.00 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
3 -Jul 2008
Signature
95.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
EXTERED