163859 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T361830 Page 1 of 1
ONE CIVIC SQUARE MICHAEL STENNIS
CARMEL, INDIANA 46032 3943 SUNDANCE CT CHECK AMOUNT: $45.00
.0 ZIONSVILLE IN 46077 CHECK NUMBER: 163859
CHECK DATE: 9/17/2008
J DEPARTMENT ACCOUNT P O NUMBER I NVOICE NUMBER AM OUNT DESCRIPTION
1047 4358400 181389 45.00 REFUNDS AWARDS INDE
a
ACTIVITY REFUND RECEIPT
Receipt 181389 EP 0 3 2008
Payment Date: 08/27/2008
Household 10561 BY:
Hoare Phone: (317)873 -3410
Work Phone: (317)310 -4863
MICHAEL STENNIS Monon Center
3943 SUNDANCE CT. Carmel IN 46032
ZIONSVILLE IN 46077
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 45.00
Enrollee Name: Lia Stennis Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286250 -01 Baby Yoga 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/08/2008 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Fitness Studio A Class Dates: 09/02/2008 to 10/21/2008
Monon Center 9:30A to 10:15A
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: low enrollment
G Code Description__,_ Account Number Cst Cntr__ Description Accou Nu mber Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 45.00 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 08/27/08 16:53:48 by CNA FEES CHANGED ON CANCELLED ITEMS 45.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM`! CANCELLED ITEMS 45.00
TOTAL AMOUNT REFUNDED 45.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 45.00 Made By REFUND FINAN With Reference low enrollment
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ACTIVITY REFUND RECEIPT
Receipt 181389
Payment Date: 08/27/08
Household 10561
: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.
W 9 Llrf�z
Auth rized Signature Date Authorized Signature Date
S
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.
Stennis, Michael Terms
3943 Sundance Ct. Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/08 181389 Refund 45.00
Total 45.00
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.
Stennis, Michael Allowed 20
3943 Sundance Ct.
;j Zionsville, IN 46077
In Sum of
45.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 181389 4358400 45.00 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
4 -Sep 2008
I 9
Signature
45.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund