187393 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364319 Page 1 of 1
0 ONE CIVIC SQUARE JOHN NELLIGAN CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 5389 RIPPLING BROOK WAY
4 yon o CARMEL IN 46033 CHECK NUMBER: 187393
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 436968 35.00 REFUNDS AWARDS INDE
a;.
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ACTIVITY REFUND RECEIPT
Receipt 436968
Payment Date: 06/10/10
Household 16787
Monon Community Center John Nelligan Hm Ph: (317)815 -9715
Carmel IN 46032 5389 Rippling Brook Way
Carmel IN 46033 Cell Ph:
P sneII1474 @sbcglobal.net
Phone: (317)848 -7275
Fad Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: John L. Nelligan Fees Tax Discount Prev Paid Our Paid Amount Due
Activity Number 107418-02 Internet Basics For 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04115/2010 (Cancelled)
Primary Instructor: Selective Training
Class Location: Computer Lab Class Dates: 06/12/2010 to 06/12/2010
Monon Community Cntr 1:00P to 2:30P
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: low enrollment
G/L Code Descri Account Number C st Cntr Descri Account Num 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 06/10/10 13:58:31 by MML FEES CHANGED ON CANCELLED ITEMS 35.00
NET AMOUNT FROM CANCELLED ITEMS 35.00
TOTAL AMOUNT REFUNDED 35.00
NEW NET CREDIT HOUSEHOLD BALANCE 30.00
Refund of 35.00 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 cas r c edit c rd refunds.
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Authorized Signature Date Autho zed Signature Date
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P1. )T�
JUN 2 3 701
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.
Nelligan, John Terms
5389 Rippling Brook Way Date Due
Carmel, IN 46033
E
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
6110110 436968 Refund 35.00
Total 35.00
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
Voucher No. Warrant No.
Nelligan, John Allowed 20
5389 Rippling Brook Way
i Carmel, IN 46033
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 436968 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