181899 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363851 Page 1 of 1
i ONE CIVIC SQUARE MEG FRAZER
CARMEL, INDIANA 46032 48 RED OAK LANE CHECK AMOUNT: $48.00
a° CARMEL IN 46033 CHECK NUMBER: 181899
CHECK DATE: 2/3 /2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 48.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 377665
Payment Date: 01/15/10
Household 22584
N
r4 JAN22 /010
tr
Mohawk Trails Elemen Meg Frazer Hm Ph: (317)844 -2903
4242 East 126th Street 48 Red Oak Lane Wk Ph: (317)844 -2903
Carmel IN 46033 Carmel IN 46033 Cell Ph: (317)
margaret.l.frazer @pfizer.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 24.00
Enrollee Name. Natalie Frazer Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486051 -03 Tumbling 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/06/2010 (Cancelled)
Class Location: Mohawk Trails Elem Class Dates: 01/20/2010 to 02/10/2010
Mohawk Trails Elemen 2:45P to 3:45P
4242 East 126th Street W
Carmel, IN 46033 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
CANCELLATION Refund Of 24.00
Enrollee Name: Elizabeth Frazer Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486051 -03 Tumbling 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/06/2010 (Cancelled)
Class Location: Mohawk Trails Elem Class Dates: 01/20/2010 to 02/10/2010
Mohawk Trails Elemen 2:45P to 3:45P
4242 East 126th Street W
Carmel, IN 46033 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
GIL 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 48.00 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 01/15/10 16:19:44 by KRM FEES CHANGED ON CANCELLED ITEMS 48.00
:NET AMOUNTzFROM .48 0071
I.TOTACAMOUNT;REFUNDEW,! -4 '48:00?
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 4800 Made By REFUND FINAN With Reference
Page 1
ACTIVITY REFUND RECEIPT
Receipt 377665
Payment Date: 01/15/2010
Household 22584
All refunds .,re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. cash or credit card refunds.
uthorize• ignature Date Authorized Signature Date
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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.
Frazer, Meg
Terms
48 Red Oak Lane Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/15/10 377665 Refund 48.00
Total 48.00
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
20
Clerk- Treasurer
Voucher No. Warrant No.
Frazer, Meg Allowed 20
48 Red Oak Lane,
Carmel, IN 46033
In Sum of$
48.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1081 377665 4358400 48.00 I 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
28 -Jan 2010
cf--= vx;nex/m
Signature
48.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund