187380 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364316 Page 1 of 1
ONE CIVIC SQUARE JOHN MENNE
CARMEL, INDIANA 46032 13191 GATMAN CT CHECK AMOUNT: $35.00
CARMEL IN 46032 CHECK NUMBER: 187380
CHECK DATE: 717/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 446765 35.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 446765
Payment Date: 06/18/10
Household 24270
p a W) 9
Monon Community Center JUN 2 2 2010 John Menne Hm Ph: (317)843 -9301
Carmel IN 46032 13191 Gatman Ct Wk Ph: (317)621 -7064
Carmel IN 46032 Cell Ph:
BY. jjmenne @sbcglobal.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Nicholas Menne Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103005 -33 Preschool Level 3 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 0412912.010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Ind Leisure 4 Class Dates: 07/05/2010 to 07/14/2010
Monon Community Cntr 5:151P to 6:OOP
M,W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: advance notice
G1L Code Description Account Num Cst Cntr Description Ac count Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 35.00 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 16:08:52 by CEK FEES CHANGED ON CANCELLED ITEMS 42.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NETAMOUNTf.ROM ",CANCELLED ITEMS,"— 35`00-
TOTAL :A MOUNTREF,.UNDED,: Y' 35.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference adv request
Rewards Points refunded on this receipt: 0.70
Household Reward Point Balance: 0.70
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.
(,fit 10
Authorized Signature Date Authorized Signature Date
l o q 6. 10. Y c W
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.
Menne, John Terms
13191 Gatman Ct Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6118110 446765 Refund 35.00
Total 35.00
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
1 20
Clerk- Treasurer
t
Voucher No. Warrant No.
Menne, John Allowed 20
13191 Gatman Ct
Carmel, IN 46032
4 In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -10 446765 4358400 35.00 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
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund