187350 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364312 Page 1 of 1
ONE CIVIC SQUARE ALLISON JULIAN
i 4 1' CHECK AMOUNT: $40.00
i.�.+ CARMEL, INDIANA 46032 13930 SILVER STREAM DR
CARMEL IN 46032 CHECK NUMBER: 187350
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 445367 40.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 445367
Payment Date: 06/17/10
Household 29476
Monon Community Center Allison Julian Hm Ph: (317)564 -4287
Carmel IN 46032 13930 Silver Stream Dr Wk Ph: (317)590 -0690
Carmel IN 46032 Cell Ph:
ajulian @indy.rr.com
F- hone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 40.00
Enrollee Name: Allison Julian Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 109002 01 Family Campout 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/06/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: West Park Field Class Dates: 06/11/2010 to 06/12/2010
West Park 4:30P to 9:OOA
2700 W. 116th St. F,Sa
Carmel IN 46032 Scheduled Sessions: 2
(317)848 -7275
cancel Reason: advanced request
G/L Code Descri Account Number Cst Cntr Descri Acco Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 40.00 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 06/17/10 15:47:47 by SAC FEES CHANGED ON CANCELLED ITEMS 40.00
NET AMOUNT FROM CANCELLED ITEMS 40.00-
TOTAL AMOUNT REFUNDED 40.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By REFUND FINAN With Reference advanced request
funds are subje to and of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
Iss ed. No cash o cr c d re nds.
Authorized Signature Date Authorized Signature j" �D_ ate
JUN 2 3 2010
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.
Julian, Allison Terms
13930 Silver Stream Dr Date Due
Carmel, IN 46032
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/10 445367 Refund 40.00
Total 40.00
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.
Julian, Allison Allowed 20
13930 Silver Stream Dr
Carmel, IN 46032
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -60 445367 4358400 40.00 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
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund