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183175 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363199 Page 1 of 1 0 ONE CIVIC SQUARE JENNIFER WEBER CHECK AMOUNT: $45.00 3901 CREST POINT DR �zo CARMEL, INDIANA 46032 NOBLESVILLE IN 4fi062 CHECK NUMBER: 183175 ror CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 39375 45.00 REFUNDS AWARDS FIDE ACTIVITY REFUND RECEIPT Receipt f# 393975 Payment Date: 03/01/10 Household 5047 Monon Center 4°' Jennifer Weber Hm Ph: (317)867 -8586 Carmel IN 46032 v 3901 Crest Point Dr Wk Ph: (317)576 -6010 t Noblesville IN 46062 Cell Ph: (317)201 -0087 ferunc @gmail.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 13ye Enrollment Details CANCELLATION Refund Of 15.00 Enrollee Name: Sant Weber 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: 12/2312009 (Cancelled) Primary Instructor: CCPR Staff Class Location: Banquet Room -All 3 Class Dates: 02/05/2010 to 02/0512010 Monon Center 6:OOP to 9:OO1? F Carmel, IN 46032 Scheduled Sessions: 1 (317)848 -7275 Cancel Reason: weather G /L Code Description Account Number Cst Cntr Descri Account Num Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 45.00 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 CREDIT HOUSEHOLD BALANCE 30.00 Processed on 03/01/10 11:40:31 by SAC FEES CHANGED ON CANCELLED ITEMS 15.00 NET AMOUNT FROM CANCELLED ITEMS 15.00 HH BALANCE APPLIED TO THIS RECEIPT 30.00 TOTAL AMOUNT REFUNDED 45.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 45.00 Made By REFUND FINAN With Reference weather Nk5unds are subject to Staje�Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No cash or redit refunds. /l Authorized Signature Date Authoriz d Signature Date 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. Terms Weber, Jennifer Date Due 3901 Crest Point Dr Noblesville, IN 46062 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 45.00 311/10 393975 Refund Total 45.00 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. Weber, Jennifer Allowed 20 3901 Crest Point Dr Noblesville, IN 46062 In Sure of 45.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1096 -60 393975 4358400 45.00 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 11 -Mar 2010 L&LLIMIM Signature 45.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund