188049 07/21/2010 ,a CITY OF CARMEL, INDIANA VENDOR: 364440 Page 1 of 1
ONE CIVIC SQUARE CAROL SANQUNETTI
G 0 CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 3250E 236TH ST
CICERO IN 46034 CHECK NUMBER: 188049
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 470969 25.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 470969
Payment Date: 07/12/10
Household 34262
Monon Community Center Carol Sanqunetti Hm Ph: (317)758 -6156
Carmel IN 46032 3250 E 236th Street
Cicero IN 46034 Cell Ph:
casanqun @gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 25.00
Enrollee Name: Rachel Sanqunetti Fees Tax Disoount Prey Paid Cur Paid Amount Due
Activity Number. 106488 -01 Clay Turtles 0. 00 0.00 0.00 0.00 0.00
Enrollment Date: 0410812010 (Cancelled)
Primary Instructor. Jeremy South
Class Location: Art Studio Class Dates: 07/07/2010 to 07107/2010
Monon Community Cntr 11:00A to 12:00P
W
Carmel, IN 46032 scheduled Sessions: 1
(317)848 -7275
Cancel Reason: low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/12/10 13:35,05 by CNA FEES CHANGED ON CANCELLED ITEMS 25.00
NET AMOUNT FROM CANCELLED ITEMS 25.00
TOTAL AMOUNT. REFUNDED` 25.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 25.00 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.
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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.
Sanclunetti, Carol Terms
3250 E 236th Street Date Due
Cicero, IN 46034
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7112/10 470969 Refund 25.00
Total 25.00
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
20�
Clerk- Treasurer
Voucher No. Warrant No.
Sanqunetti, Carol Allowed 20
325D E 236th Street
Cicero, IN 46034
In Sum of
25.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
109642 470969 4358400 25.00 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
25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund