185649 05/26/2010 a CITY OF CARMEL, INDIANA VENDOR: 364144 Page 1 of 1
ONE CIVIC SQUARE GREG BABINEAU
F CARMEL, INDIANA 46032 9525 GUILFORD APTA CHECK AMOUNT: $12.00
INDIANAPOLIS IN 46240
CHECK NUMBER: 185649
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 417871 12.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 417871
Payment Date: 05/06/10
Household 34705
Monon Center Greg Babineau Hm Ph: (317)816 -1463
Carmel IN 46032 9525 Guilford Apt. A Wk Ph: (317)
Indianapolis IN 46240 Cell Ph:
greg_babineau @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 12.00
Enrollee Name: Greg Babineau Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 107038 -01 Euchre Club 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/0312010 (Cancelled)
Primary Instructor. CCPR Staff
Class Location: Program Room A Class Dates: 05/06/2010 to 08/26/2010
Monon Center 9:00A to 11:OOA
Th
Carmel, IN 46032 Scheduled Sessions. 17
(317)848 -7275
Cancel Reason: low enrollment
GIL Code Descriptio Account Number C st Cntr Description Account N Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 12.00 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 05/06/10 09:18:37 by MML FEES CHANGED ON CANCELLED ITEMS 12.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 12.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 12.00 Made By REFUND FINAN With Reference low enroll
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
isV_Npo or_cred'it card r unds.
5Z
(Aut o it zed Signature ISate 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.
Babineau, Greg Terms
9525 Guilford Apt A Date Due
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
516110 417871 Refund 12.00
Total 12.00
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.
Babineau, Greg Allowed 20
9525 Guilford Apt A
Indianapolis, IN 46240
In Sum of
12.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 417871 4358400 12.00 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
P which charge is made were ordered and
received except
20 -May 2010
Signature
12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund