187326 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364310 Page 1 of 1
ONE CIVIC SQUARE CHRIS HELMUTH
O 31904 N 23RD AVE CHECK AMOUNT: $53.00
CARMEL, INDIANA 46032 PHOENIX AZ 85085 CHECK NUMBER: 187326
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CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 449521 53.00 REFUNDS AWARDS INDE
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Receipt 449521
Payment Date: 06/21/10
Household 35727
Monon Community Center Chris Helmuth
Carmel IN 46032 31904 N 23rd Ave
Phoenix AZ 85085 Cell W(480)227-0460
ChrisG2069 @yahoo. com
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Q
Enrollment Details
CANCELLATION Refund Of 53.00
Enrollee Name: Graham Helmouth Fees Tax Risoocmt Prey Paid Cur Paid Amount Due
Activity Number. 105146 -02 Start Smart Baseball 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 0611512010 (Cancelled)
Class Location: River Heritage Class Dates: 07/06/2010 to 08/10/2010
River Heritage 4:30P to 5:30P
11813 River Road Tu
Carmel, IN 46032 Scheduled Sessions: 6
(317)848 -7275
Cancel Reason: advanced request
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acd CNTRL Control Anoint (AP) Enter Control Acct here 53.00 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the retiaid.
Finance will have to DEBIT the CONTROL a000unt for the amps fisted above after the checl6 have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/21/10 12 :28:00 by CNA FEES CHANGED ON CANCELLED ITEMS 60.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 53.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 53.00 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.
OIL/VA— 691/io 0
Autho 4 ed Signature DAe Aut0l6rized Sigroture VM T c W t
JUN 23 2010
BY........
1091 3� Ll 35 1 4 00 adLlMced 1 i rnuc -s
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.
Helmuth, Chris Terms
31904 N 23rd Ave Date Due
Phoenix, AZ 85085
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/10 449521 Refund 53.00
Total 53.00
I 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
Voucher No. Warrant No.
Helmuth, Chris Allowed 20
31904 N 23rd Ave
Phoenix, AZ 85085
In Sum of
53.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 449521 4358400 53.00 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
53.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund