183166 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363956 Page 1 of 1
ONE CIVIC SQUARE SHAWN MACE CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 353 TERRENTS CT
CARMEL IN 46032 CHECK NUMBER: 183166
CHECK DATE: 311 612 01 0
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 393912 30.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 393912
Payment Date: 03/01/10
Household 1916
Monon Center Shawn Mace Hm Ph: (317)844 -7893
Carmel IN 46032 353 Terrents Ct. Wk Ph: (317)727 -8953
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275 smace0930 @aol.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Angie Mace Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 309047 -01 Prince Charming's Ba 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/26/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Banquet Room -All 3 Class Dates: 02/05/2010 to 02/05/2010
Monon Center 6:OOP to 9:OOP
F
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 7275
Cancel Reason: weather
CANCELLATION Refund Of 15.00
Enrollee Name: Cars Mace Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 309047 -01 Prince Charming's Ba 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/26/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Banquet Room -All 3 Class Dates: 02/05/2010 to 02/05/2010
Monon Center 6:OOP to 9:OOP
F
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: weather
GIL C ode Descri 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 03/01/10 10:13:26 by SAC *y' 4 p FEES CHANGED ON CANCELLED ITEMS 30.00-
[1If` 0 4 2010 �j, NETAMOUNT FROM CANCELLED ITEMS 30.00
TOTAL AMOUNT REFUNDED 30.00
BY:
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 393912
Payment Date: 03/01/2010
Household 1916
Refund of 30.00 Made By REFUND FINAN with Reference weather
All r tends are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
i ed. No cash or credit car refunds.
Authori igna re Date Aut rized Signature Date
Page 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to 6e 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.
Mace, Shawn Terms
353 Terrents Ct Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
311110 393912 Refund 30.00
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.
Mace, Shawn Allowed 20
353 Terrents Ct
Carmel, IN 46032
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE N0. ACCT #(TITLE AMOUNT Board Members
Dept
1096 -6 393912 4358400 30.00 I hereby certify that the attached invoice(s), or
bi ll(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
11 -Mar 2010
4
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund