182966 03/03/2010 ;Y
CITY OF CARMEL, INDIANA VENDOR: 363932 Page 1 of 1
t ONE CIVIC SQUARE CAN PHILPOTT
h CARMEL, INDIANA 46032 2016 BURNING TREE LANE CHECK AMOUNT: $20.00
CARMEL IN 46032 CHECK NUMBER: 182966
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 20.00 REFUND
ACTIVITY REFUND RECEIPT
Receipt 390310
Payment Date: 02/17/10
Household 10109
(2 9T
Towne Meadow Element I FEB 14 20 10 Dan Philpott Hm Ph: (317)573 -9890
10850 Towne Road 2016 Burning Tree Lane
Carmel IN 46032 BY° carmel IN 46032 Cell Ph:
dan.ebiephilpott@sbcgfobal.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
ROSTER CHANGE Refund Of 10.00
Enrollee Name: Joe Philpott Fees Tax Discount Prev Paid Our Paid Amount Due
Activity Number: 486091 -04 Musical Math 30.00 0.00 30.00 0.00 0.00
Enrollment Date: 01/04/2010 (Enrolled)
Class Location: Towne Meadow Elem Class Dates: 01 /21/2010 to 02/11/2010
Towne Meadow Element 2:45P to 3:45P
10850 Towne Road Th
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275
ROSTER CHANGE Refund Of 10.00
Enrollee Name: James Philpott Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 486091 -04 Musical Math 30.00 0.00 30.00 0.00 0.00
Enrollment Date: 01/04/2010 (Enrolled)
Class Location: Towne Meadow Elem Class Dates: 01/21/2010 to 02/11/2010
Towne Meadow Element 2:45P to 3:45P
10850 Towne Road Th
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275
GIL Code Description Account Numb C st Cntr Descripti Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 20.00 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 02117/10 12:59:39 by GEE FEES ADJUSTED ON CHANGED ITEMS 20.00-
NETAMOUNT 'FROMeCHANGED,'ITEMS�,°!`
-TO TA LAM OUNT`REFUNDED_...'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 Made By REFUND FINAN With Reference
Page 4 1
ACTIVITY REFUND RECEIPT
Receipt 390310
Payment Date: 02/17/2010
Household 10109
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to proc ss? A che�iil be
issued. No ash or credit card refunds.
thori Signature Date Authorized Signature Date
0- A-
0d
Page 2
ACCOUNTS PAYABLE VOUCHER
y 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.
Philpott, Can Terms
2016 Burning Tree Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2117110 390310 Refund 20.00
Total 20.00
1 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.
Philpott, Can Allowed 20
2016 Burning Tree Lane
Carmel, IN 46032
r
In Sum of
20.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept
1081 -99 390310 4358400 20.00 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
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund