161099 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: T361468 Page 1 of 1
i 4 ONE CIVIC SQUARE LAURA STORM CHECK AMOUNT: $32.00
CARMEL, INDIANA 46032 5305 BREAKERS WAY
CARMEL IN 46033 CHECK NUMBER: 161099
CHECK DATE: 6/2512008
DEPARTMENT ACCOUNT PO NUMBE INVOI NU AMOUNT DESCRIPTION
1047 4358400 32.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 129588
Payment Date: 06/12/2008
Household C
Home Phone: (317)843 -1488
Work Phone: JUN 1 3 ZOOS I I
i
BY: t
LAURA STORM Monon Center
5305 BREAKERS WAY Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 32.00
Enrollee Name: Joseph Storm Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 188031 -01 Simple Easy Cookin 0.00 0.00 0.00 0.00 0.00
Enrollment Date- 05/21/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room B Class Dates: 06/10/2008 to 07/15/2008
Monon Center 3:30P to 4:30P
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 6
Cancel Reason. IoW enrollment
G /L Cod Descri T Account Numbe Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 32.00 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 06/12/08 12:28:14 by TCP FEES CHANGED ON CANCELLED ITEMS 32.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 32.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 32.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 129588
Payment Date: 06/12/08
Household 18461
All refunds are subject to State Board of Accounts claim procedure and y ake 4 -6� w ek to process. A check will be
i5 sued. No cash or credit card refunds.
q
Authorized Signature Date Au i Si ture Da e
CEIZTED
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.
Storm, Laura Terms
5305 Breakers Way Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6112108 129588 Refund 32.00
Total 32.00
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.
Storm, Laura Allowed 20
5305 Breakers Way
Carmel, IN 46033
In Sum of
32.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 129588 4358400 32.00 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
32.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund