162091 07/23/2008 f CITY OF CARMEL, INDIANA VENDOR: 361632 Page 1 of 1
0 ONE CIVIC SQUARE MARY ANN VAN NOTE
CARMEL, INDIANA 46032 11706 WHISPER BAY COURT CHECK AMOUNT: $27.00
CARMEL IN 46033
CHECK NUMBER: 162091
CHECK DATE: 7/23/2008
D EPARTMENT ACCOUNT PO NUM I NVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 27.00 PARKS DEPARTMENT REFU
!R
X
r ACTIVITY REFUND RECEIPT
Receipt 151606
Payment Date: 07/14/2008 L
Notasehold 17485
Hc;ne Phone: (317)843 -9620
Work Phone: (317) JUL 1 7 2008
MARY ANN VAN NOTE Monon Center
11706 WHISPER BAY CT. Carmel IN 46032
CARMEL IN 46033
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 27.00
Enrollee Name: Mary Ann Van Note Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 184402 -04 Gentle Yoga 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04118/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Dance Studio Class Dates: 08/07/2008 to 08/28/2008
Monon Center 11:30A to 12:20P
Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: Not able to attend classes
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 27.00 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 07/14/08 14:00:00 by CEK FEES CHANGED ON CANCELLED ITEMS 27.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET .AMOUNT FROM CANCELILED,ITEMS„
TOTAL AMOUNT REFUNDED
NEW NET HOUSEHOLD BALANCE C 0.00
Refund of 27.00 Made By REFUND FINAN With Reference refund fee 104-1
Page 1
ACTIVITY REFUND RECEIPT
Receipt 151606
Payment Date: 07/14/08
Household 17485
:.Nl refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. c k will b
issued. No cash or credit card refunds.
68 I r (2
Authorized Signature Date Authorized Signature Date
JUL 1 7 2008 I
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.
Van Note, Mary Ann Terms
11706 Whisper Bay CT Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/14/08 151606 Refund 27.00
Total 27.00
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.
Van Note, Mary Ann Allowed 20
11706 Whisper Bay CT
Carmel, IN 46033
In Sum of
27.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 151606 4358400 27.00 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
18 -Jul 2008
Signature
27.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund