159444 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T361258 Page 1 of 1
ONE CIVIC SQUARE SUNITHA KRISHNA
CHECK AMOUNT: $286.00
i CARMEL, INDIANA 46032 LOTS WAY
CA RMEL IN 46032 CHECK NUMBER: 159444
CA
CHECK DATE: 511412008
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1047 4358400 286.00 REFUNDS AWARDS INDE
0
GLOBAL REFUND RECEIPT
PFICEIVED
Receipt 105774
Payment Date: 04/08/2008 MAY 0 9 2008
Household 6269
Home Phone: (317)569 -8772 nV.
Work Phone: (317)399 -3014
SUNITHA KRISHNA Carmel Clay Parks Recreation
405 LOIS WAY 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION
Enrollee Name: Ishwarya Krishna Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 173015 -02 One -On -One Lessons 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/31/2007 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 1 Class Dates: 06/11/2007 to 08/03/2007
Monon Center 11:00A to 8:OOP
M,Tu,W,Th,F
Carmel, IN 46032 Skip Days 07104/2007
(317)848 -7275 Scheduled Sessions: 39
Fee Details: Fee Description Amount Count Discount S ales Tax Total Fee
One -On -One Swim Less 7.00 1.00 0.00 0.00 7.00
CANCELLATION
Enrollee Name: Milana Krishna Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 173015 -02 One -On -One Lessons 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05131/2007 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 1 Class Dates: 06/11/2007 to 08/03/2007
Monon Center 11:OOA to 8:OOP
M,Tu,W,Th,F
Carmel, IN 46032 Skip Days 07/04/2007
(317)848 -7275 Scheduled Sessions: 39
Fee Details: Fee Descri Amount C ount Discount Sale Tax Total Fee
One -On -One Swim Less 7.00 1.00 0.00 0.00 7.00
ROSTER CHANGE Refund Of 286.00
Enrollee Name: Mllana Krishna Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476002 -30 Preschool Palace 834.00 0.00 834.00 0.00 0.00
Enrollment Date: 03/12/2008 (Enrolled)
Page 1
GLOBAL REFUND RECEIPT
Receipt 105774
Payment Date: 04/08/08
Household 6269
Class Location: Orchard Park Elem Class Dates. 06/02/2008 to 08/01/2008
Orchard Park Element 8:30A to 3:30P
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions. 45
Fee Details. Fee Description Amount C ount Discount Sales Tax Total Fee
Preschool Palace Res 834.00 1.00 0.00 0.00 834.00
Special Questions: Child's T -Shirt Size YS
Child's Swimming Level Beg
The following item reflects a payment towards a previous receipt
Enrollee Name: Ishwarya Krishna Fees Tax Discount Prev Pai Cur Paid Amount Due
Activity Number: 408001 -18 SR Monthly Before /Af 144.00 0.00 25.00 119.00 0.00
Enrollment Date: 12/26/2007 (Enrolled)
Class Location: Smoky Row School Class Dates: 04/14/2008 to 05/02/2008
Smoky Row Elementary 2:30P to 6:OOP
900 West 136th Street M,Tu,W,Th,F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 15
Activity Comments: Enjoy Your Escape!
Fee Details: Fee Description Amount Count Discount Sales Tax Total F ee
SR April PM 144.00 1.00 0.00 0.00 144.00
The following item reflects a payment towards a previous receipt
Enrollee Name: Ishwarya Krishna Fees +Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 408001 -20 SR Monthly Before /Af 172.00 0.00 0.00 172.00 0.00
Enrollment Date: 1210512007 (Enrolled)
Class Location: Smoky Row School Class Dates: 05/0512008 to 05/30/2008
Smoky Row Elementary 2:30P to 6:OOP
900 West 136th Street M,Tu,W,Th,F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 20
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
SR May PM 172.00 1.00 0.00 0.00 172.00
G/L Code Description Account Numb Cst Cntr Description Account Num Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 286.00 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.
Page tt 2
GLOBAL REFUND RECEIPT
Receipt 105774
Payment Date: 04/08/08
Household 6269
PREVIOUS NET HOUSEHOLD BALANCE 291.00
Processed on 04/08108 10:49:14 by EDR FEES CHANGED ON CANCELLED ITEMS 300.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
NET AMOUNT FROM CANCEL:LEDHTEMS? 286:00?
FEES ADJUSTED ON CHANGED ITEMS 291.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NET AMOUNT�FROM.CH'ANGEDy'ITEMS
HH BALANCE APPLIED TO THIS RECEIPT 291.00
,`TOTAL'AMOUNT,.REFUNDED. `286:00,x'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 286.00 Made By JOURNAL -RF With Reference
Payment of 291.00 Made By 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 o p h or credit card refunds.
Autho zed Signature Date Authorized Signature Date
�7 3�, 3u q 359q d
Page 3
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.
Krishna, Sunitha Terms
405 Lois Way Date Due
Carmel, In 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
418108 105774 Refund 286.00
Total 286.00
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
kJ
Voucher No. Warrant No.
Krishna, Sunitha W Allowed 20
405 Lois Way t� sC
Carmel, In 46032
In Sum of
286.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 105774 4358400 286.00 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
12-May 2008
Sig ure
286.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund