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186422 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 364231 Page 1 of 1 t, ONE CIVIC SQUARE STEPHANIE MCGEE CHECK AMOUNT: $42.00 S' CARMEL, INDIANA 46032 5402 ALVAMAR PLACE CARMEL IN 46033 CHECK NUMBER: 186422 CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 42.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 426197 Payment Date: 05125/10 Household 20565 MAY 2 5 2010 Monon Center Stephanie Mcgee Hm Ph: (317)815 -8503 Camel IN 46032 5402 Alvamar Place Wk Ph (317)684 -5206 BY: Carmel IN 46033 Cell Ph: (317)847 -8056 stephmcgee @sbcglobal.net Phane: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 42.00 Enrollee Name: Savanna Mcgee Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 476011 -18 School's Out Camp 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 0313012010 (Cancelled) Class Location: Prairie Trace Elem Class Dates: 04/06/2010 to 04/06/2010 Prairie Trace Elemen 7:OOA to 6:OOP 14200 North River Road Tu Carmel, IN 46033 Scheduled Sessions: 1 (317)848 -7275 Cancel Reason: did not attend spring break camp G1L Code Description Account Number Cst Cntr Descri Account Number Amount 999999 Control Account (AP). Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 42.00 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 05/25/10 09:36:01 by JAB FEES CHANGED ON CANCELLED ITEMS 42.00 NET AMOUNT FROM CANCELLED ITEMS 42.00 TOTAL AMOUNT REFUNDED 42.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 42.00 Made By REFUND FINAN With Reference check refund refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be ss d. N cash or dit card refunds. S 0 Aut rized Signatuk Date Authorized Signature Date V Ov`(� ktly VV i a W w tv uvv9w,�-j 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 McGee, Stephanie Date Due 5402 Alvamar Place Carmel, IN 46033 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 42.00 5125110 426197 Refund Total 42.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer Voucher No. Warrant No. McGee, Stephanie Allowed 20 5402 Alvamar Place Carmel, IN 46033 In Sum of 42.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITE_E AMOUNT Board Members Dept 1081 -7 426197 4358400 42.00 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 3 -Jun 2010 Signature 42.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund