161236 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T361510 Page 1 of 1
ONE CIVIC SQUARE STEPHEN TAYLOR
1, CARMEL, INDIANA 46032 6457 MAYFIELD LANE CHECK AMOUNT: $35.00
ZIONSVILLE IN 45077 CHECK NUMBER: 161236
CHECK DATE: 7/8/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 14.1432 35.00 REFUNDS AWARDS INDE
i
ACTIVITY REFUND RECEIPT
Receipt 141432
Payment Date: 06/30/2008
Household 18428
Home,-Phone: (317)873 -5078
Work Phone:
STEPHEN TAYLOR Carmel Clay Parks Recreation
6457 MAYFIELD LANE 1235 Central Park Drive East
ZIONSVILLE IN 46077 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name. Susan Olson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 189002 -01 Family Campout 0.00 0.00 0.00 0.0o 0.00
Enrollment Date: 05/20/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: West Park Shelter Class Dates: 06/13/2008 to 0 611 412 00 8
West Park 4:30P to 9:00A
2700 W. 116th St. F,Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 2
Cancel Reason. Unable to attend rain date
G/L Code Descrip Accou N umbe r Cst Cntr Description _Accou N _A
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 35.00 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 06/30/08 1113:02 by DMM FEES CHANGED ON CANCELLED ITEMS 35.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 35.00-
TOTAL AMOUNT REFUNDED 35.00
NEW NET HOUSEHOLD BALANCE 0.00 7 0 'j jNTf- 4-E) Refund of 35.00 Made By JOURNAL -RF With Reference unable to attend
2 2008
Page 1
ACTIVITY REFUND RECEIPT
Receipt 141432
Payment Date: 06/30/08
Household 18428
Ali are subject to State Board of Accounts claim procedure and m y take 4 6 eks to rocess. A check will be
issued. No cash or credit card refun s.
1 2�, Ga 3
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A thorized Signat re Date Authorized Signa e D to
cl 3 S 3 y35 �N
JUL 0 2 2008
SS T.
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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.
Taylor, Stephen Terms
6457 Mayfield Lane Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30/08 141432 Refund 35.00
Total 35.00
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
Vou --her No. Warrant No.
Taylor, Stephen Allowed 20
6457 Mayfield Lane
Zionsville, IN 46077
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1047 141432 4358400 35.00 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
2 -Jul 2008
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund