187261 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364302 Page 1 of 1
ONE CIVIC SQUARE BARBARA COHEN
CHECK AMOUNT: $175.00
CARMEL, INDIANA 46032 1385 N CLEARAGE WAY
u `a CARMEL IN 46032 CHECK NUMBER: 187261
CHECK DATE: 717/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 450069 175.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 450069
Payment Date: 06/22/10
Household 35661
Monon Community Center Barbara Cohen Hm Ph: (317)843 -9120
Carmel IN 46032 1385 N Clearage Way
Carmel IN 46032 Cell Ph:
bacohen @indy.rr.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 175.00
Enrollee Name: Barbara Cohen Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 107291 -01 Advanced Pet Manners 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 06/11/2010 (Cancelled)
Primary Instructor: Canines In Action
Class Location: West Park Shelter Class Dates: 07/20/2010 to 08/24/2010
West Park 7:OOP to 8:OOP
2700 W. 116th St. Tu
Carmel, IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: advanced request
G/L Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 175.00 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 06/22/10 13:32:19 by MML FEES CHANGED ON CANCELLED ITEMS 182.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED ITEMS 175.00
TOTAL AMOUNT REFUNDED 175.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 175.00 Made By REFUND FINAN With Reference advanced request
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.
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Authorized Signature ate Authotized Signature Date
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1 56. 4357S400 1. J RRI
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JUN 232010
BY. ......................a
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.
Cohen, Barbara Terms
1385 N Clearage Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/22/10 450069 Refund 175.00
Total 175.00
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.
Cohen, Barbara Allowed 20
1385 N Clearage Way
Carmel, IN 46032
In Sum of
175.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 450069 4358400 175.00 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
175.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund