162887 08/20/2008 i
CITY OF CARMEL, INDIANA VENDOR: T361699 Page 1 of 1
ONE CIVIC SQUARE TONY NAVARRA CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 13760 LAREDO DRIVE
CARMEL IN 46032 CHECK NUMBER: 162887
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 30.00 PARKS DEPARTMENT REFU
I-
ACTIVITY REFUND RECEIPT
Receipt 170138 CFT TED
Payment Date: 08/06/2008
Household 18814 7A11 0 7
Home Phone: (317)705 -0917 2008
Work Phone:
BY:
TONY NAVARRA Monon Center
13760 LAREDO DR. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION
Enrollee Name: Erin Navarra Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186358 -02 Intro to Irish Dance 15.00 0.00 0.00 15.00 0.00
Enrollment Date: 0710212008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location Dance Studio Class Dates: 07/08/2008 to 08/26/2008
Monon Center 7:OOP to 7:45P
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions 8
Fee Details: Fee Descrip amount ______Count Discou _S_ales Tax Total Fee
Intro to Irish Dance 15.00 1.00 0.00 0.00 15.00
Cancel Reason: instructor health problems
CANCELLATION Refund Of 30.00
Enrollee Name: Theresa Navarra Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186358 -02 Intro to Irish Dance 15.00 0.00 0.00 15.00 0.00
Enrollment Date: 07102/2008 (Cancelled)
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Primary Instructor: CCPR Staff
Class Location: Dance Studio Class Dates: 07/08/2008 to 08/26/2008
Monon Center 7:OOP to 7:45P
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions 8
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Intro to Irish Dance 15.00 1.00 0.00 0.00 15.00
Cancel Reason: instructor health problems
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ACTIVITY REFUND RECEIPT
Receipt 170138
Payment Date: 08/06/08
Household 18814
G/L Co de Descri ption__.__ Account Number_ Cst_Cntr Description__ Account Number__ Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct 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 08/06/08 11:47:20 by BJC FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 30.00
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 instructor health
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.
-6
Aut r' ed Signature Date Authorized Signature Date
L X00
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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.
Navarra, Tony Terms
13760 Laredo Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
816108 170138 Refund 30.00
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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.
Navarra, Tony Allowed 20
13760 Laredo Dr
Carmel, IN 46032
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept
INVOICE NO. ACCT #/TITLE AMOUNT
1047 170138 4358400 30.00 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
14 -Aug 2008
&o p
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund