181980 02/03/2010 CITY OF CARMEL, INDIANA VEND T359866 Page 1 of 1
I ONE CIVIC SQUARE TERESA KANE
h
CARMEL, INDIANA 46032 764 W MAIN ST CHECK AMOUNT: $42.00
OM ;'s CARMEL IN 46032 CHECK NUMBER: 181980
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 42.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 379265
Payment Date: 01/20/10
r Household 7635
JAN 222010
Carmel Elementary Teresa Kane Hm Ph: (317)818 -8292
101 4th Avenue SE 764 West Main Street Wk Ph: (317)594 -7431
Carmel IN 46033 Carmel IN 46032 Cell Ph:
kane @indy.net
Pfttne: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 21.00
Enrollee Name: Phoebe Kane Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486011 -01 Cartooning 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0111512010 (Cancelled)
Class Location: Carmel Elem School Class Dates: 01/25/2010 to 02/08/2010
CarmelClayParksRec 2:45P to 3:45P
101 4th Avenue SE M
Carmel, IN 46033 Scheduled Sessions: 3
(317)848 -7275
Cancel Reason: Enrichment Class Cancelled
CANCELLATION Refund Of 21.00
Enrollee Name: Brodie Kane Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486011 -01 Cartooning 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/15/2010 (Cancelled)
Class Location: Carmel Elem School Class Dates: 01/25/2010 to 02/08/2010
CarmelClayParksRec 2:45P to 3:45P
101 4th Avenue SE M
Carmel, IN 46033 Scheduled Sessions: 3
(317)848 -7275
Cancel Reason: Enrichment Class Cancelled
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 42.00 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 01/20/10 13:41:44 by JCM FEES CHANGED ON CANCELLED ITEMS 42.00
NET AMOUNT FROM CANCELLED ITEMS 42.00- 1
1 TOTAL AMOUNT REFUNDED 42.00 1
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 42.00 Made By REFUND FINAN With Reference
Page 1
ACTIVITY REFUND RECEIPT
Receipt 379265
Payment Date: 01/20/2010
Household 7635
All refunds :re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N? cash or credit card refunds.
A horized gnature Date Authorized Signature Date
,4,0;10a) op
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J
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F= ree„ r r
J 2 2 2010
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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.
Kane, Teresa Terms
764 West Main Street Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/20/10 379265 Refund 42.00
Total 42.00
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.
Kane, Teresa Allowed 20
764 West Main Street
Carmel, IN 46032
In Sum of$
42.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1081 379265 4358400 42.00 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
/1 /P/7112
signature
42.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund