164033 09/17/2008 F CITY OF CARMEL, INDIANA VENDOR: T0002898 Page 1 of 1
ONE CIVIC SQUARE ANGELIA BARNES
g CHECK AMOUNT: $30.00
io CARMF 46032 10628 WALNUT CREEK DR
CARMEL IN 46032 CHECK NUMBER: 164033
CHECK DATE: 9/17/2008
DEPARTMENT ACCOU P NUMB INVOICE NUMBER AM OUNT D ESCRIP T ION
1047 4358400 185147 30.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 182987 �`,EIVED
Payment Date: 08/30/2008
Household 1380 SE 0 3 2008
Home Phone: (317)873 -6651
Work Phone: (317)840 -8834
BY:
ANGELIA BARNES Monon Center
10628 WALNUT CREEK DRIVE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 30.00
Enrollee Name: Max Bott Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286358 -01 Intro to Irish Dance 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/2112008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room C Class Dates: 09102/2008 to 10/21/2008
Monon Center 5:45P to 6:30P
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions. 8
Cancel Reason: low enrollment
G1L Code_ Descrip Account N umber Csl Cllr.___ Description Account Num ber Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acci here 30.00 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 08/30/08 20:18:27 by CNA FEES CHANGED ON CANCELLED ITEMS 30.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 30.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By REFUND FINAN With Reference low enrollment
Page ft 1
r
ACTIVITY REFUND RECEIPT
Receipt 182987
Payment Date: 08/30/08
Household 1380
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.
a� ffuw J T 1
A thorized Signature Date Authorized Signature Date
Page 2
r 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.
Barnes, Angelia Terms
10628 Walnut Creek Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8130108 182987 Refund 30.00
Total 30.00
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.
Barnes, Angelia Allowed 20
10628 Walnut Creek Dr
Carmel, IN 46032
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1047 182987 4358400 30.00 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
4 -Sep 2008
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund