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182004 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363853 Page 1 of 1 ONE CIVIC SQUARE RAYMOND LUCAS i s CARMEL, INDIANA 46032 14638 BACH DRIVE #828 CHECK AMOUNT: $75.00 CARMEL IN 46032 CHECK NUMBER: 182004 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 75.00 REFUND ACTIVITY REFUND RECEIPT Receipt 378646 Payment Date: 01/18/10 Household 32849 Monon Center Raymond Lucas Hm Ph: (317)502 -2294 Carmel IN 46032 14638 Bach Drive 828 Carmel IN 46038 Cell Ph: techhead293 @hotmail.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 75.00 Enrollee Name: Anita Lovejoy Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number 307430 -01 Entrepreneurism 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 0111312010 (Cancelled) Primary Instructor: Eric Anderson Class Location: Banquet Room B Class Dates: 01/20/2010 to 02/10/2010 Monon Center 6:OOP to 7:00P w Carmel, IN 46032 Scheduled Sessions: 4 (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 75.00 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 01/18/10 15:12:42 by MML FEES CHANGED ON CANCELLED ITEMS (4-) 75.00- 1 NET AMOUNT, FROM CANCELLED ITEMS 75.00- I TOTAL AMOUNT REFUNDED 75.00 I NEW NET HOUSEHOLD BALANCE 0.00 Refund of 75.00 Made By REFUND FINAN With Reference low enrollment All refunds ar- sub 2 State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No .s ei car. funds. alh/v.1_ Aut s l ate Autho ized Signature Date SO 0 7 1 C) 1O .50. 7 c�® JAN 2010 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. Lucas, Raymond Terms 14638 Bach Drive 828 Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 75.00 1/18/10 378646 Refund Total 75.00 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. Lucas, Raymond Allowed 20 14638 Bach Drive 828 Carmel, IN 46032 In Sum of 75.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or Board Members INVOICE NO. ACCT #/TITLE AMOUNT Dept 1096 -50 378646 4358400 75.00 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 V 4d, 2-oM Signature 75.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund