185137 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 364121 Page 1 of 1
e 10I� ONE CIVIC SQUARE ROSEMARY ANDERSON
CARMEL, INDIANA 46032 13249 ARDEN CT CHECK AMOUNT: $10.00
CARMEL IN 46033 CHECK NUMBER: 185137
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 416798 10.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 416798
Payment Date: 05/03/10
Household 11739
Monon Center d R 73 Rosemary Anderson Hm Ph: (317)844 -8577
Carmel IN 46032 13249 Arden Court
MAY d 4 20 10 Carmel IN 46033 Cell Ph:
emanderson3 @bsu.edu
Phone: (317)848 -7275
Fed Tax ID #35- 6000972 Bye
Enrollment Details
ROSTER CHANGE Refund Of 10.00
Enrollee Name: Beth Anderson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 307390 Exercise Irish Step 30.00 0.00 30.00 0.00 0.00
Enrollment Date: 03/02/2010 (Enrolled)
Primary Instructor: CCPR Staff
Class Location: Dance Studio Class Dates: 03/10/2010 to 04/28/2010
Monon Center 8:OOP to 8:55P
W
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
G/L C ode Description Account Number Cst Cntr Description Accou Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 10.00 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 05/03/10 13:43:31 by MML FEES ADJUSTED ON CHANGED ITEMS 10.00
NET AMOUNT FROM CHANGED ITEMS 10.00
TOTAL AMOUNT REFUNDED 10.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 10.00 Made By REFUND FINAN With Reference prorated refund
All refunds a e s, bject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued- No as 'or cre it card refunds.
10 S
A ture ate Authorized 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.
Anderson, Rosemary Terms
13249 Arden Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
513/10 416798 Refund 10.00
Total 10.00
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.
Anderson, Rosemary Allowed 20
13249 Arden Court
Carmel, IN 46033
In Sum of
10.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1096 -50 416798 4358400 10.00 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
5 -May 2010
Signature
10.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I