187418 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364321 Page 1 of 1
ONE CIVIC SQUARE DAYNA PRINCE
CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 1949 w116rHSr
CARMEL IN 46032 CHECK NUMBER: 187418
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 446757 55.00 REFUNDS AWARDS INDE
\P
ACTIVITY REFUND RECEIPT
Receipt 446757
Payment Date: 06/18/10
Household 3114
JUN IF JR
Monon Community Center 2010 myna prince Hm Ph: (317)663 -4252
Carmel IN 46032 1949 W. 116th St.
carmel IN 46032 Cell Ph:
BY-
1prince @yahoo.com
P one: (317)848 -7275
�d Tax ID #35- 6000972
o
Enrollment Details
CANCELLATION Refund Of 55.00
Enrollee Name: Summer Prince Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103007 10 Learn to Swim Lvl 2 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/2612010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indoor Lap Pool 3 Class Dates: 06/07/2010 to 06/16/2010
Monon Community Cntr 7:05P to 8:OOP
M,W
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Staff error.
G/L Code Descri Accou Number Cst Cntr De scription 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 16:06:59 by CEK FEES CHANGED ON CANCELLED ITEMS 55.00-
NET AMOUNT�,FROM ;CANCELLED,,ITEMS :55.00
'TOTAL ;AMOUNT REFUNDED''
55.Op
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 55.00 Made By REFUND FINAN With Reference staff error
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.
C• 1g 1�
Authorized Signature Date Authorized Signature Date
IU 4 (t) 10. n vf �0
Page 1
ACCOUNTS PAYABLE VOUCHER
r' 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
Prince, Dayna
Date Due
1949 W. 116th Street
Carmel, IN 46032
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
55.00
6118110 446757 Refund
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
20
Clerk- Treasurer
MAW
Voucher No, Warrant No,
Prince, Dayna Allowed 20
1949 W. 116th Street
k 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
I�
1096 -10 446757 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