184440 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364046 Page 1 of 1
ONE CIVIC SQUARE JULIE PESEK
1 CARMEL, INDIANA 46032 509 WOODFIELD DRIVE CHECK AMOUNT: $35.00
CARMEL IN 46033
CHECK NUMBER: 184440
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 407747 35.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECENT
Receipt 407747
Payment Date: 04/08/10
Household 32202
Monon Center Julie Pesek Hm Ph: (317)523 -0142
Carmel IN 46032 509 Woodfield Dr Wk Ph: (317)
Carmel IN 46033 Cell Ph: (317)523 -0142
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Caleb Pesek Fees Tan Discount Prev Paid Cur Paid Amount Due
Activity Number: 306358 -08 Steve Drabyn°s Baske 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 02115/2010 (Cancelled)
Primary Instructor. Steve Drabyn
Class Location: Gymnasium B Class Dates: 04/17/2010 to 04/1712010
Monon Center 11:OOA to 12:30P
Sa
Carmel, IN 46032 Scheduied Sessions: 1
(317)848 -7275
Cancel Reason: low enrollment
GIL Code Description Account Number Cst Gntr Description Account Number Amount
999999 Control Account (AP) Enter Control Aoct GNTRL Control Account (AP) Enter Control Acct here 35.00 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 fisted above after the chedcs have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/08/10 14:28.56 by CNA FEES CHANGED ON CANCELLED ITEMS 35.00
NET AMOUNT FROM CANCELLED ITEMS 3500-
TOTAL AMOUNT REFUNDED 35.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4-6 weeks to process. A check will be
issued. No cash or credit c_a,,rd refunds. q
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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,
Pesek, Julie Terms
509 Woodfield Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
418110 407747 Refund 35.00
Total 35.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Pesek, Julie Allowed 20
509 Woodfield Dr
Carmel, IN 46033
In Sum of$
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -42 407747 4358400 35.00 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
8 -Apr 2010
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund