181654 01/20/2010 o ...t,,, CITY OF CARMEL, INDIANA VENDOR: 363802 Page 1 of 1
ONE CIVIC SQUARE SCOTT SCHRADER CHECK AMOUNT: $83.50
1� CARMEL, INDIANA 46032 3260 WHISPERING PINES LANE
1ulH G e CARMEL IN 46032 CHECK NUMBER: 181651
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 373849 43.50 REFUNDS AWARDS INDE
1096 4358400 373849 40.00 REFUNDS AWARDS INDE
Monon Center Clerk: MAK
Date: 01/11/2010 Time: 13:52:53
H /H: Scott Schrader
F /M: Holly Schrader
Description Ext Price
Pas 0 Type 31.50
KZ 50 Visit
From 12/02/2009 12/31/2099
Rcpt# 373849 Prev Bal: 0.00
New Charges 43.50
New Tax: 0.00
Total Due: 43.50
Tot Refund: 43.50
New Bal: 0.00
Refund Tyyppe: Refund from Finance
REFUND FINAN Refund of: 43.50
All refunds are subject to State Board
of Accounts claim procedure and may take
4 -6 weeks to proce A cheek will be
issued. No cash o, r edit afd ref nds.
0'6
uthorized S gnature Date
Authorized Signature Date
Fed Tax ID #35- 6000972
Staff Initials:
V
�h Date:
FDC lnitials: CeP• Fs
Date.
AT CENTRAL PARK Supervisor:
Pass Cancellation
Date:
Cheek Refund or Household Credit (Circle One)
*Note: Check refunds take 3 we to process. Household credit will be placed on account for credit towards next transaction.
If you are canceling a monthly passport, you understand that you must give at least 7 days prior notice to your next payment date.
Name requesting cancellation: C.- 1 6L 6, t ci:,jr,, c- 5 t�_ (:�r.r (Phone Number: cr.) ct\ E
,r KG'_ -,C
Address: C 1._,.....'..1,..1 `1 City: 1,...c_ Zip: L j G, C
Passholder Name(s): --n tc )C'_ L c
Pass that you would like to cancel: C_ k y (ti °,r• o ay s Date(s): 1 11 /Mg' l L
Reason for pass cancellation: some_ \jt.+,-c C"'
Passholder's Signature: .1:
"*"Please turn into Front Desk Coordinator
Amount Approved: Refund or Credit on Date: Reason:
0_1(1 r
i-lbq 9_,
I 1A... 51 P;iLes e___ck.vt_e____
'J--L1-. LoVI
L Q_. 14,up_1, 4C D3
JAN1•4_ 1010 0
ACTIVITY REFUND RECEIPT
Receipt 374447
Payment Date: 01/13/10
Household 26869
Monon Center Scott Schrader Hm Ph: (317)457 -8333
Carmel IN 46032 3261 Whispering Pines Lane
Carmel IN 46032 Cell Ph:
holly.schraderl8 @gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 40.00
Enrollee Name: Sydney Schrader Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 305258 -01 Cheer Pom Pom Dancin 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12126/2009 (Cancelled)
Class Location: Gymnasium C Class Dates 01/13/2010 to 01/27/2010
Monon Center 3:15P to 4:OOP
W
Carmel, IN 46032 Scheduled Sessions: 3
(317)848 -7275
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct. CNTRL Control Account (AP) Enter Control Acct here 40.00 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 01/13/10 08:40:06 by CNA FEES CHANGED ON CANCELLED ITEMS 40.00
I NET AMOUNT FROM: ITEMS 40.00 -,I
1 TOTAL AMOUNT REFUNDED 40.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By REFUND FINAN With Reference low enrollment
All refunds are sub1ect 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.
eat2t dill47/ I I 0
Authorized Signature D to Authorized Signature Date
1- I1. L 0 .330. L 4Oa
Low \ro tim r`k
LW JAN 1 8 2010 Li
Page 1
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.
Schrader, Scott Terms
3260 Whispering Pines Lane Date Due
Carmel, I N 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/11/10 373849 Refund 43.50)
1/13/10 374447 Refund 40.00
Total 83.50
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
20
Clerk-Treasurer
Voucher No. Warrant No.
Schrader, Scott Allowed 20
3260 Whispering Pines Lane
Carmel, IN 46032
In Sum of
83.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1092 373849 4358400 43.50 I hereby certify that the attached invoice(s), or
1096 -32 374447 4358400 40.00 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
14 -Jan 2010
Signature
83.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund