187362 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364313 Page 1 of 1
ONE CIVIC SQUARE DARCIE LANG CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 14154 PEPIN PLACE
CARMEL IN 46032 CHECK NUMBER: 187362
CHECK DATE: 7/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 443518 60.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 443518
Payment Date: 06/16/10
Household 34607
Monon Community Center Darcie Lang Him Ph: (317)8449929
Carmel IN 46032 14154 Pepin Place
Carmel IN 46032 Cell Ph:
=hone: (317)848 -7275
Fed Tax I D #35- 6000972
Enrollment Details
CANCELLATION Refund Of 60.00
Enrollee Name: Darcie Lang Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 107415 -01 Computer Basics 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04127/2010 (Cancelled)
Primary Instructor: Selective Training
Class Location: Computer Lab Class bates: 06/0712010 to 06/07/2010
Monon Community Cntr 7:00P to 8:45P
M
Carmel IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: low enrollment
GIL Code Descri Account Number Cst C ntr Descrip Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 60.00 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!16110 10:32:13 by MML FEES CHANGED ON CANCELLED ITEMS 60.00
NET AMOUNT FROM CANCELLED ITEMS 60.00
TOTAL AMOUNT REFUNDED 50.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By REFUND FINAN With Reference low enrollment
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 ca cr it c refunds.
4 ,o
A/horiz,nigTAKre Date Aut orized Signature Date
16 43159Wl6 M C 1 III
JUN 2 3 2010
Page 9 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.
Lang, Darcie Terms
14154 Pepin Place Date Due
Carmel, IN 46032
1
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
6116110 443518 Refund 60.00
Total 60.00
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.
Lang, Darcie Allowed 20
14154 Pepin Place
Carmel, IN 46032
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 443518 4358400 60.00 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
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund