165874 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: T362151 Page 1 of 1
ONE CIVIC SQUARE ROBYN MERCER CHECK AMOUNT: $98.00
'o CARMEL, INDIANA 46032 277 EARL PARK WAY
WESTFIELD IN 46074 CHECK NUMBER: 165874
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DES CRIPTION
1047 4358400 J 98.00 PARKS DEPARTMENT REFU
i
i
s
F
ACTIVITY REFUND RECEIPT
Receipt# 197362 OCT 3 0 2008
Payment Date: 10/28/2008
Household 20972
Home Phone: (317)896 -9541 B
Work Phone: (317)566 -9755
ROBYN MERCER Monon Center
277 EARL PARK WAY Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 98.00
Enrollee Name: Madison Mercer Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286218 -02 Creative Dramatics 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/18/2008 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Program Room A Class Dates: 10/30/2008 to 12/18/2008
Monon Center 10:OOA to 10:40A
Th
Carmel, IN 46032 Skip Days 11/27/2008
(317)848 -7275 Scheduled Sessions: 7
Cancel Reason: low enrollment
G/L Code Descri Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 98.00 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 12:01:18 by CNA FEES CHANGED ON CANCELLED ITEMS 98.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 98.00
TOTAL AMOUNT REFUNDED 98.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 98.00 Made By REFUND FINAN With Reference low enrollment
Page 1
I
ACTIVITY REFUND RECEIPT
Receipt 197362
Payment Date: 10/28/2008
Household 20972
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.
d aut1t.-l—
A thorized 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.
Mercer, Robyn Terms
277 Earl Park Way Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/28/08 197362 Refund 98.00
I
i t
Total 98.00
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.
Mercer, Robyn Allowed 20
277 Earl Park Way
Westfield, IN 46074
In Sum of
98.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 197362 4358400 98.00 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
98.00 Accounts Payable Coord inator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund