165893 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: T362153 Page 1 of 1
ONE CIVIC SQUARE SUSAN NIXON
0 CHECK AMOUNT: $20.00
CARMEL,.INDIANA 46032 16137 BROOKHOLLOW DRIVE
NOBLESVILLE IN 46062 CHECK NUMBER: 165893
CHECK DATE: 11112/2008
DEPARTMENT ACCO P N UMBER I NVOI CE NUMB AMOUNT DESCRIPTION
1047 4358400 20.00 PARKS DEPARTMENT REFU
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i
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ACTIVITY REFUND RECEIPT
Receipt 197383 (7- P- TOTED
Payment Date: 10/28/2008
Household 21320 OCT 0 2008
Home Phone: (317)896 -5151
Work Phone: BY:
SUSAN NIXON Monon Center
16137 BROOKHOLLOW DR Carmel IN 46032
NOBLESVILLE IN 46062
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 20.00
Enrollee Name: Gabriel Nixon' Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286201 -03 Romp -n -Stomp 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 10/16/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium B Class Dates: 11/04/2008 to 11/25/2008
Monon Center 10:30A to 11:15A
Tu
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 20.00 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 10/28/08 12:33:21 by CNA FEES CHANGED ON CANCELLED ITEMS 20.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED. 20.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 Made By REFUND FINAN With Reference low enrollment
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ACTIVITY REFUND RECEIPT
Receipt 197383
Payment Date: 10/28/2008
Household 21320
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.
aq 6 tJ WbIvT 10 0,2
Authorized Signature Date Authorized Signature Date
47. 0.300, y35 Beq Q (your)
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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.
Terms
Nixon, Susan
Date Due
16137 Brookhollow Dr
Noblesville, IN 46062
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
20.00
10/28/08 197383 Refund
Total 20.00
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.
Nixon, Susan Allowed 20
16137 Brookhollow Dr
Noblesville, IN 46062
In Sum of
20.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO #or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 197383 4358400 20.00 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
31 -Oct 2008
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund