164126 09/30/2008 VENDOR: T361890
CITY OF CARMEL, INDIANA Page 1 of 1
ONE CIVIC SQUARE JOSEPH ACKLIN
CARMEL, INDIANA 46032 11403 ROYAL CT CHECK AMOUNT: $165.00
«oa c
CARMEL IN 46032 CHECK NUMBER: 164126
CHECK DATE: 9/30/2008
DEPAR TMENT T ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 165.00 REFUNDS AWARDS INDE
r, ACTIVITY REFUND RECEIPT
Receipt 185850 CEIVED
Payment Date: 09/05/2008
Household 13020 SEP 1 7 7008
Home Phone: (317)297 -0265
Work Phone: BY:
JOSEPH ACKI_IN Monon Center
11403 ROYAL COURT Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 165.00
Enrollee Name: Lucy Acklin Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286128 -01 Milk Cookies 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/30/2008 (Cancelled)
Primary Instructor: Kindermuslk
Class Location: Program Room C Class Dates: 09/12/2008 to 12/05/2008
Monon Center 10:30A to 11:10A
F
Carmel, IN 46032 Skip Days 10/2412008, 11/07/2008, 11/28/2008
(317)848 -7275 Scheduled Sessions: 10
Cancel Reason: IOW enrollment
G/L Code Description_ r Account N umber Cst Cntr_ Descrip Accou Nu mber Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 165.00 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 09/05108 13:43:00 by CNA FEES CHANGED ON CANCELLED ITEMS 165.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 165.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 165.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 185850
Payment Date: 09/05/08
Household 13020
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.
l Pnkr o
Aut orized Signature Date Authorized Signature Date
Q' 5(oo. 300 y c) y d
Page 2
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.
Acklin, Joseph Terms
11403 Royal Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/5/08 185850 Refund 165.00
Total 165.00
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.
Acklin, Joseph Allowed 20
11403 Royal Court
Carmel, IN 46032
In Sum of
165.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 185850 4358400 165.00 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
23 -Sep 2008
Signature
165.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund