188587 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364510 Page 1 of 1
ONE CIVIC SQUARE SANDY WORKMAN
CARMEL, INDIANA 46032 CHECK AMOUNT: $32.00
7641 TANAGER LANE
INDIANAPOLIS IN 46256 CHECK NUMBER: 188587
CHECK DATE: 813/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 486688 32.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 486688
Payment Date: 07/26/10
Household 36087
Ionon Community Center Sandy Workman
armei IN 46032 7841 Tanager Lane
Indianapolis IN 46256 Cell Ph: (317)501-0846
hone: (317)848 -7275
ed Tax ID #35- 6000972
;nrollment Details
CANCELLATION Refund Of 32.00
Enrollee Name: Zachary Workman Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 108124 -02 Intro To Yoga 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07/06/2010 (Cancelled)
Class Location: Fitness Studio B Class Dates: 08/04/2010 to 08125/2010
Monon Community Cntr 4:30P to 5:20P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reasons low enrollment
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 07/26/10 15:58:11 by BNT FEES CHANGED ON CANCELLED ITEMS 32.00
NET AMOUNT FROM CANCELLED ITEMS 32.00
TOTAL AMOUNT REFUNDED 32.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 32.00 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
ued. No cash or credit card refunds.
Authorized Signat Date Authorized Signature Date
Enjoy your escape at the MCC.
1 VVV
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.
Workman, Sandy Terms
7841 Tanager Lane Date Due
Indianapolis, IN 46256
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/26110 486688 Refund 32.00
Total 32.00
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.
Workman, Sandy Allowed 20
'7841 Tanager Lane
Indianapolis, IN 46256
In Sum of
32.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -70 486688 4358400 32.00 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
29 -Jul 2010
Signature
32.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund