165886 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: T362152 Page 1 of 1
ONE CIVIC SQUARE RENA NAGAI
CARMEL, INDIANA 46032 342 UXBRIDGE LANE CHECK AMOUNT: $32.00
CARMEL IN 46032 CHECK NUMBER: 165886
CHECK DATE: 11112/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 32.00 PARKS DEPARTMENT REFU
i
w
ACTIVITY REFUND RECEIPT
Receipt 196803
Payment Date: 10/24/2008 RF FJV1FD
Household 22847
Home Phone: (317)669 -8347 OCT 3 0 7008
Work Phone: f
RENA NAGAI Monon Center
342 UXBRIDGE LN. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 32.00
Enrollee Name: Rena Nagai Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 288031 -02 Simple Easy Cookin 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 10/21/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room B Class Dates: 10/29/2008 to 11/19/2008
Monon Center 5:30P to 6:30P
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
cancel Reason: Low enrollment
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 32.00 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 10/24/08 13:13:30 by BNT FEES CHANGED ON CANCELLED ITEMS 32.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 32.00
TOTAL AMOUNT REFUNDED 32.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 32.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 196803
Payment Date: 10/24/2008
Household 22847
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.
Authorized Signature Date Authorized Signature Date
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.
Nagai, Rena Terms
342 Uxbridge Ln Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/24/08 196803 Refund 32.00
Total 32.00
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.
Nagai, Rena Allowed 20
342 Uxbridge Ln
Carmel, IN 46032
In Sum of
32.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1047 196803 4358400 32.00 I 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
31 -Oct 2008
Signature
32.00 Accounts Payable C oordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund