183654 03/25/2010 CITY OF CARMEL, INDIANA VENDOR: 363997 Page 1 of 1
ONE CIVIC SQUARE ALEXANDER MEHREBIAN
I� CHECK AMOUNT: $47.00
CARMEL, INDIANA 46032 1484 QUAKER LANE
coy `o PROSPECTS HEIGHTS IL 66070 CHECK NUMBER: 183654
CHECK DATE: 3/2512010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 47.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 397781
Payment Date: 03/12/10
Household 30661
Monon Center s rj (1 Alexander Mehrebian Hm Ph: (847)271 -9758
Carmel IN 46032` 1484 Quaker Lane
Prospect Hts. IL 66070 Cell Ph:
alexandermehrebian @gmail.com
Pl;one: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 47.00
Enrollee Name: Alexander Mehrebian Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 307600 -01 The Monon Center Spr 0.00 0.00 0.00 0.00 0.00
Enrollment Date. 01/26/2010 (Cancelled)
Class Location: Gymnasium C Class Dates: 03/13/2010 to 03113/2010
Monon Center 8:00A to 6:OOP
Sa
Carmel IN 46032 Scheduled Sessions: 2
(317)848 -7275
Add'I Locations: Gymnasium B Class Dates: 02/20/2010
Monon Center Meeting Times (Sa) 8:OOA to 6:OOP
Carmel, IN 46032
3178487275
Cancel Reason: advanced request
G/L Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 47.00 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 03/12/10 10:04:49 by MML FEES CHANGED ON CANCELLED ITEMS 47.00
NET AMOUNT FROM CANCELLED ITEMS 47.00-
TOTAL AMOUNT REFUNDED 47.00-
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 47.00 Made By REFUND FINAN With Reference advanced request
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process (A check w II be
wri2edSignature or cr it card refunds.
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D to Autho zed Signature Date
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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.
Mehrebian, Alexander Terms
1484 Quaker Lane Date Due
1 Prospect Hts., IL 66070
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3112110 397781 Refund 47.00
Total 47.00
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.
Mehrebian, Alexander Allowed 20
1484 Quaker Lane
Prospect Hts., IL 66070
In Sum of
47.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 397781 4358400 47.00 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 -Mar 2010
Signature
47.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund