182900 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 362803 Page 1 of 1
ONE CIVIC SQUARE SHARRI JACKSON
CARMEL, INDIANA 46032 10808 WESTON DRIVE CHECK AMOUNT: $28.00
CARMEL IN 46032 CHECK NUMBER: 182900
CHECK DATE: 3/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 28.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 384048
Payment Date: 02/03/10
Household 9401
I FEB a 9 I Towne Meadow Element 1 9 2010 Sharri Jackson Hm Ph: (314)873 -4648
10850 Towne Road 10808 Weston Drive Wk Ph: (317)997 -9459
Carmel IN 46032 Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275 By sjackson @indy.rr.com
Fed Tax ID #35- 6000972
If
Enrollment Details
CANCELLATION Refund Of 28.00
Enrollee Name: Sarah Jackson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486091 -02 Cartooning 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/0412010 (Cancelled)
Class Location: Towne Meadow Elem Class Dates: 01/19/2010 to 02/09/2010
Towne Meadow Element 2:45P to 3:45P
10850 Towne Road Tu
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 28.00 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 02/03/10 13:29:28 by GEE FEES CHANGED ON CANCELLED ITEMS 28.00
NET AMOUNT FROM CANCELLED ITEMS 28.00=
TOTAL AMOUNT REFUNDED 28:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 28.00 Made By REFUND FINAN With Reference
All refunds are subject to State Board o� f Accounts claim procedure and may take 4 -6 weeks to process A check wi I be
issued. o cash or credit card refunds.
d n f'
t thori Signature Date Authorized Signature Date
tAJ
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.
Jackson, Shard Terms
10808 Weston Drive Date Due
Carmel, IN 46032
9
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
213!10 384048 Refund 28.00
Total 28.00
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 -1.5
20_
Clerk- Treasurer
Voucher No. Warrant No.
Jackson, Shard Allowed 20
10808 Weston Drive
Carmel, IN 46032
In Sum of
28.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. ACCT#ITITLE AMOUNT Board Members
Dept
1081 -99 384048 4358400 28.00 1 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
25 -Feb 2010
9 ',�X��Zr�/yYlr120�y
Signature
28.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund