181938 02/03/2010 F CITY OF CARMEL, INDIANA VENDOR: 363855 Page 1 of 1
0 N` ONE CIVIC SQUARE HEIDI MULLER CHECK AMOUNT: $24.00
J CARMEL, INDIANA 46032 12700 DEVON LANE
N± o CARMEL IN 46032 CHECK NUMBER: 181938
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 24.00 REFUNDS AWARDS INDE
'e,
ACTIVITY REFUND RECEIPT
Receipt 379020
Payment Date: 01/19/10
Household 32314
Vest Clay Elementary Heidi Muller Hm Ph: (317)816 -2522
3495 W. 126th St. 12700 Devon Lane
Carmel IN 46032 Carmel IN 46032 Cell Ph: (317)727 -1 730
hiveasmuller @yahoo.com
Phone: (317)844 -9961
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 24.00
Enrollee Name: Julia Muller Fels Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486101 -02 Cheerleading 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/21/2009 (Cancelled)
Class Location: West Clay Elementary Class Dates: 01/19/2010 to 02/09/2010
West Clay Elementary 2:45P to 3:45P
3495 W. 126th St. Tu
Carmel, IN 46032 Scheduled Sessions: 4
(317)844 -9961
Cancel Reason: 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 24.00 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 01/19/10 17:13:34 by JLH .-.0 r FEES CHANGED ON CANCELLED ITEMS 24.00
a
A' 0 NET AMOUNT FROM CANCELLED ITEMS 24.00-
AN ll I t O 6/
1 TOTAL AMOUNT REFUNDED 24.00
IIY° NEW NET HOUSEHOLD BALANCE 0.00
Refund of 24.00 Made By REFUND FINAN With Reference
All refu ,•s are'subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o ca-h or credit card refunds.
Auth• iz. d S�.na ure Date Authorized Signature Date
60 f)2c
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V Q r, Page 1
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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.
/rte
Muller, Heidi Terms
12700 Devon Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/19/10 379020 Refund 24.00I
Total 24.00
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
r-
Voucher No. Warrant No.
Muller, Heidi Allowed 20
12700 Devon Lane
Carmel, IN 46032
In Sum of
24.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
o n 379020 4358400 24.00 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
4d "71P1(J
Signature
24.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund