187799 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364420 Page 1 of 1
ONE CIVIC SQUARE AMANDA FININ CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 1101 HIGH CT
CARMEL IN 46033
CHECK NUMBER: 187799
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 466982 15.00 REFUNDS AWARDS INDE
AL, I lV1 I T KLO-U U RECEIPT
Receipt 466982
Payment Date: 07/08/10
Household 35673
Monon Community Center Amanda Finin Hm Ph: 317 84
Carmel IN 46032 1101 High CT 3 -0592
Carmel IN 46033 Cell Ph:
Phone: (317 )848 -7275 marfinin@gmail.com
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION -Refund Of 15.00
Enrollee Name: Amanda Finin Fees +Tax Disca�nt Prev Paid d Paid Due
Amount Due
Activity Number. 104710 -03 Healthy Back o 00 0.00 0.00 D
Enrollment Date: 06/12/2010 (Cancelled)
Class Location: Fitness Studio B Class Dates: 07/09/2010 to 07109/2010
Monon Community Cntr 1:OOP to 2:OOP
F
Carmel, IN 46032 Scheduled sessions: 1
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET "OUSEHOLD BALANCE 0.00
Processed on 07/08/10 07:33:59 by CNA FEES CHANGED ON CANCELLED ITEMS 15.00
NET AMOUNT FROM CANCELLED ITEMS 15.00 7
TOTAL AMOUNT REFUNDED 15.00
NEW NET HOUSEHOLD BALANCE 000
Refund of =n 15.00 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 cash or credit card refunds.
�Wjlj�tcu q 10
Authorized Signature Date 6
Date in;
JUL 14 X010 0
BY......
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.
Finin, Amanda Terms
1101 High Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
718110 466982 Refund 15.00
Total 15.00
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
Voucher No. Warrant No.
Finin, Amanda Allowed 20
1101 High Ct
Carmel, IN 46033
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 466982 4358400 15.00 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
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund