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Home My WebLink About187231 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364298 Page 1 of 1 ONE CIVIC SQUARE MARAT BLEYKHMAN CHECK AMOUNT: $55.00 CARMEL, INDIANA 46032 1433 SEDONA DR CARMEL IN 46032 CHECK NUMBER: 187231 CHECK DATE: 7/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 446731 55.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 446731 Payment Date: 06/18/10 Household 27190 Monon Community Center W 0 Marat Bleykhman Hm Ph: (317)566 -8999 Carmel IN 46032 JUN 2 1433 Sedona Dr Wk Ph: (317)529 -8362 carmel IN 46032 Cell Ph: marat_bleykhman @yahoo.com Phone: (317)848 -7275 BY: Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 55.00 Enrollee Name: N ickolas Bleykhman f=ees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 103008 -15 Learn to Swim Lvl 3 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 0510412010 (Cancelled) Primary Instructor: CCPR Staff Class Location: Indoor Lap Pool 4 Class Dates: 06/21/2010 to 06130/2010 Monon Community Cntr 7:05P to 8:OOP M,W Carmel IN 46032 Scheduled Sessions: 4 (317)848 -7275 Cancel Reason: advance notice given GIL Code Description Account Number Cst Cntr Description Account Number _Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 55.00 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 06/18/10 15:59:07 by CEK FEES CHANGED ON CANCELLED ITEMS 55.00- NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 55.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 55.00 Made By REFUND FINAN With Reference advance notice 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 card refunds. le ho Authorized Signature Dale Authorized Signature Date IQ9 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. Bleykhman, Marat Terms 1433 Sedona. Dr Date Due Carmel, I N 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6118110 446731 Refund 55.00 Total 55.00 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. Bleykhman, Marat Allowed 20 1433 Sedona Dr Carmel, IN 46032 In Sum of 55.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 10916 -10 446731 4358400 55.00 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 1 -Jul 2010 Signature 55.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund