188787 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364530 Page 1 of 1
ONE CIVIC SQUARE SHERRY EDWARDS CHECK AMOUNT: $42.00
CARMEL, INDIANA 46032 1264 GOLFVIEW DR., APT C
CARMEL IN 46032 CHECK NUMBER: 188787
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 492108 42.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 492108
Payment Date: 08/02/10
Household 15442
Monon Community Center Sherry Edwards Hm Ph: (317)575 -0801
Carmel IN 46032 1264 Golfview Dr. Apt. C
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 42.00
Enrollee Name: Sherry Edwards Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 104410 -04 Beginning Tai Chi 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 07128/2010 (Cancelled)
Class Location: Fitness Studio A Class Dates: 08/04/2010 to 08/25/2010
Monon Community Cntr 8:OOP to 9:30P
W
Carmel, IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/02/10 07:54:17 by LWW FEES CHANGED ON CANCELLED ITEMS 42.00
'NETiAMOUNT, FRO M =CANCEL ^LEC0TEMS; "42:00::,'
TOTALcAMOUNTREFANDED "A
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 42.00 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.
thoriz ignature Date Auth ri d Signal e Date
Enjoy your escape at the MCC.
BY
Page ff 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.
Edwards, Sherry Terms
1264 Golfview Dr., Apt C Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
812110 492108 Refund 42'00
Total 42.00
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.
Edwards, Sherry Allowed 20
1264 Golfview Dr., Apt C
Carmel, IN 46032
I n Sum of
42.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 492108 4358400 42.00 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
12 -Aug 2010
Signature
42.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund