182018 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363854 Page 1 of 1
ONE CIVIC SQUARE SHANTEL MORRIS
i;
i j CARMEL, INDIANA 46032 3042 HAZEL FOSTER DRIVE CHECK AMOUNT: $30.00
--.7; CARMEL IN 46033 CHECK NUMBER: 182018
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 30.00 REFUND
I:
ACTIVITY REFUND RECEIPT
Receipt 374801
Payment Date: 01/14/10
`I Household 32691
L JAN 2 2 2010 td
Carmel Elementary BY: Shantel Morris Hm Ph: (317)660 -6546
101 4th Avenue SE 3042 Hazel Foster Dr Wk Ph: (317)
Carmel IN 46033 Carmel IN 46033 Cell Ph: (407)929 -0909
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
i,
Enrollment Details
CANCELLATION Refund Of 30.00
Enrollee Name: Dylan Morris Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486011 -02 Karate 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/07/2010 (Cancelled)
Class Location: Carmel Elem School Class Dates: 01/19/2010 to 02/09/2010
CarmelClayParksRec 2:45P to 3:45P
101 4th Avenue SE Tu
Carmel, IN 46033 Scheduled Sessions: 4
(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 30.00 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 01/14/10 09:45:03 by JCM FEES CHANGED ON CANCELLED ITEMS 30.00
>NETFAMOUNT FROMICANCELLED'ITEMS” 30.00 ,1
I:; TOTAL; AMOUNT REF.UIVDED` 30:00 "I
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By REFUND FINAN With Reference
All refund are 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 r- nds.
fd-i (O
utho ed Signature Date Authorized Signature Date
Ll(to7— CC f s yyoo ,S)
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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.
Morris, Shantel Terms
3042 Hazel Foster Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number
(or note attached invoice(s) or bill(s)) Amount
30.00,
1114110. 374801 Refund
Total 30.00
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.
Morris, Shantel Allowed 20
3042 Hazel Foster Dr
Carmel, IN 46033
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1081 374801 4358400 30.00 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
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund