161089 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: T361467 Page 1 of 1
ONE CIVIC SQUARE JAMES SPILLER CHECK AMOUNT: $45.00
J, CARMEL, INDIANA 46032 3113 CURRY LANE
CARMEL IN 46033 CHECK NUMBER: 161089
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 45.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 126253
Payment Date: 06/07/2008
Household 13054
Home Phone: (317)575 -0073
Work Phone:
JAMES SPILLER Carmel Clay Parks Recreation
3113 CURRY LANE 1235 Central Park Drive East
CARMEL IN 46033 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 45.00
Enrollee Name: Raegan Spiller Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186259 -01 Preschool Gymnastics 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/0212008 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Gymnasium C Class Dates: 06/03/2008 to 06/24/2008
Monon Center 11:30A to 12:OOP
Carmel, IN 46032
Tu R, FEC IVED
317)848 -7275 Scheduled Sessions: 4 1 2008
Cancel Reason: unhappy with class BY:
G/L Code Descri Account Number Cst Cntr Descri Account Nu mber Amo
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 45.00 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 06/07/08 23:08:17 by CNA FEES CHANGED ON CANCELLED ITEMS 45.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 45.00
TOTAL AMOUNT REFUNDED 45.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 45.00 Made By JOURNAL -RF With Reference unhappy with class
Page 1
ACTIVITY REFUND RECEIPT
Receipt 126253
Payment Date: 06/07/08
Household 13054
E
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.
C,
A thorized Signature Date Authorized Sig t re Date
JC) iOG j J 'H
CE
IVD
JUN 1 1 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.
Spiller, James Terms
3113 Curry Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
617108 126253 Refund 45.00
Total 45.00
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.
Spiller, James Allowed 20
3113 Curry Lane
Carmel, IN 46033
In Sum of
45.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 126253 4358400 45.00 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
18 -Jun 2008
Signature
45.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund