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156959 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: T360904 Page 1 of 1 ONE CIVIC SQUARE CATHERINE ANDERSON CARMEL, INDIANA 46032 14545 JOHN PAUL WAY CHECK AMOUNT: $53.00 CARMEL IN 46032 CHECK NUMBER: 156959 CHECK DATE: 3/5/2008 D EPARTMENT ACCOUNT PO NUMBER INVOIC NU MBER AMOUNT DESCRIPTION 4358400 53.00 REFUND I ACTIVITY REFUND RECEIPT RECEIVE' D Receipt 92653 1 9 2��$ Payment Date: 02/14/2008 FEB HouZ61 fold 10347 Home Phone: (317)575 -9277 �Z CLAD Work Phone: CATHERINE ANDERSON Carmel Clay Parks Recreation 14545 JOHN PAUL WAY 1235 Central Park Drive East CARMEL, IN 46032 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 53.00 Enrollee Name: Christopher Anderson Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 386425 -01 Safe Sitter 7.00 0.00 7.00 0.00 0.00 Enrollment Date: 12/10/2007 (Cancelled) Primary Instructor: CCPR Staff Class Location: Computer Meeting R Class Dates: 02/09/2008 to 02/09/2008 Monon Center 9:OOA to 4:OOP Sa Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 1 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Safe Sitter Resident 7.00 1.00 0.00 0.00 7.00 Cancel Reason: could not attend G/L Code Description Acc ount Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 53.00 DR The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund. Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers. PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 02/14/08 09:12:46 by BJC FEES CHANGED ON CANCELLED ITEMS 60.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00- NET, AMOUNT FROM CANCELLED ITEMS' S3.00- TOTAL AMOUNT REFUNDED 53.00 NEW NET HOUSEHOLD BALANCE 0.00 Page 1 ACTIVITY REFUND RECEIPT Receipt 92653 j Payment Date: 02/14/08 Household 10347 Refund Type: Refund from Finance Refund of 53.00 Made By JOURNAL -RF With Reference could not attend All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 we s to process. A check will be issued. No cash or credit card refunds. 1 4�� Wn l C uthor ed Sign re Date Aut rized Signat Date Page #2 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL y: An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by 4 6 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Catherine Anderson Terms 14545 John Paul Way Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached i nvoice(s) or bill(s Amount 2/14/08 92653 Refund 53.00 Total 53.00 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. Catherine Anderson Allowed 20 14545 John Paul Way Carmel, IN 46032 In Sum of 53.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept 1047 92653 4358400 53.00 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 28 -Feb 2008 Signature 53.00 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund