161233 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T361507 Page 1 of 1
q ONE CIVIC SQUARE PAUL SMITH CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 44 ROGERS RD
CARMEL IN 46032 CHECK NUMBER: 161233
CHECK DATE: 7/8/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
1047 4358400 134799 30.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
jvF'r)
Receipt 134799 JUN 2 3 ZOOS
Payment Date: 06/19/2008
Household 19444
Home Phone: (317)575 -8584 Lev:
Work Phone:
PAUL SMITH Carmel Clay Parks Recreation
44 ROGERS RD 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 15.00
Enrollee Name: Cana Smith Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186347 -01 Glitter Bonanza 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/13/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Art Studio Class Dates: 06/22/2008 to 06/22/2008
Monon Center 2:OOP to 4:OOP
Su
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
CANCELLATION Refund Of 15.00
Enrollee Name: Lauren ROUX Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186347 -01 Glitter Bonanza 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/13/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Art Studio Class Dates: 06/22/2008 to 06/22/2008
Monon Center 2:OOP to 4:OOP
Su
Carmel, IN 46032
(317)848 7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
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 30.00 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 #1
ACTIVITY REFUND RECEIPT
Receipt 134799 :5
Payment Date: 06/19/08
Household 194
JUN 2 3 2008
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/19/08 10:54:36 by BJC FEES CHANGED ON CANCELLED ITEMS 30.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 30.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By JOURNAL -RF With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take weeks to process. A check will be
issued. No cash or credit card refunds.
Authorized Signature D to Authorized Signat liate
3�0 3oo (2:Ss�Y(DO
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.
Terms
Smith, Paul
Date Due
44 Rogers Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
30.00
6119108 134799 Refund
Total 30.00
I 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.
Smith, Paul Allowed 20
44 Rogers Rd
Carmel, IN 46032
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 134799 4358400 30.00 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
27 -Jun 2008
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ENTERED