187781 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364418 Page 1 of 1
ONE CIVIC SQUARE LAUREN EDMUNDSON
CHECK AMOUNT: $38.00
CARMEL, INDIANA 46032 10360 CHARTER OAKS
CARMEL IN 46032 CHECK NUMBER: 187781
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 466121 38.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
v� Receipt 466121
l "0 Payment Date: 07/06110
Household 35182
Monon Community Center Lauren Edmundson Hm Ph: (317)564 -8538
Carmel IN 46032 10360 Charter Oaks
Carmel IN 46032 Cell Ph:
tdmundson@gmail.com
Phone: (317)848 -7275
Fed Tax ID 435- 6000972
Enrollment Details
CANCELLATION Refund Of 12.00
Enrollee Name: Chase Edmundson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 103001 -11 Parent Child Lvl 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/26/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location. Outdr Leisure Pool 1 Class Dates: 07/10/2010 to 07131/2010
Monon Community Cntr 9:30A to 10:OOA
Sa
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Advanced Request
CANCELLATION Refund Of 26.00
Enrollee Name: Cooper Edmundson Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 1 03 00 1 -1 1 Parent Child LVI 1 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/26/2010 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Outdr Leisure Pool 1 Class Dates: 07/10/2010 to 07/31/2010
Monon Community Cntr 9:30A to 10:OOA
Sa
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: Advanced Request
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed an 07106/10 13:04:06 by ERM FEES CHANGED ON CANCELLED ITEMS 52.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
1'',
b;
JUL 1 2010 tNET�AMOUNTJFI: OMtCANCELLEbjlTEMS 'i? s38 00=,
U J
I;t 70,T Al
BY: NEW NET HOUSEHOLD BALANCE 0.00
Refund of 38.00 Made By REFUND FINAN With Reference Adnvanced 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.
7171P N�LP (�7 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.
Edmundson, Lauren Terms
10360 Charter Oaks Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
716110 466121 Refund 38.00
Total 38.00
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.
Edmundson, LaurE rn Allowed 20
10360 Charter Oaks
Carmel, IN 46032
In Sum of
38.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
1096 -10 466121 4358400 38.00 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
15 -Jul 2010
Signature
38.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund