165343 10/29/2008 f CITY OF CARMEL, INDIANA VENDOR: T362055 Page 1 of 1
ONE CIVIC SQUARE YOLANDA MIKEV
CARMEL, INDIANA 46032 2426 LAUREL LAKES BLVD CHECK AMOUNT: $25.00
CARMEL IN 46032 CHECK NUMBER: 165343
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBE INVO NUMBER AMOUNT DESCRIP
1047, 4358400 195573 25.00 REFUNDS AWARDS INDE
i
r.
a
E
ACTIVITY REFUND RECEIPT �rFTVED
Receipt 195573 OCT 2 2 2008
Payment Date: 10/16/2008
Household 22491 BY:
Home Phone: (317)733 -8676
Work Phone: (317)
YOLANDA MIKEV Monon Center
2426 LAUREL LAKES BLVD. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 25.00
Enrollee Name: Alex Mikev Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286444 -02 Video Game Tournamen 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 09/20/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room C Class Dates: 10/25/2008 to 10/25/2008
Monon Center 6:OOP to 8:OOP
Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: IOW enrollment
G/L Code Des Account Numbe Cst Cntr Descri tion Accou N Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 25.00 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 10/16/08 09:52:32 by LVA FEES CHANGED ON CANCELLED ITEMS 25.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 25.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 25.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 195573
Payment Date: 10/16/2008
Household 22491
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No cash or credit card refunds.
I la go o zo/b�
Authorized Sig t re Date Authorized Signature Date
q-7 i
O U0 G OLW L bUYn(1 1
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.
Mikev, Yolanda Terms
2426 Laurel Lakes Blvd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/16/08 195573 Refund 25.00
I
Total 25.00
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.
Mikev, Yolanda Allowed 20
2426 Laurel Lakes Blvd
Carmel, IN 46032
In Sum of
25.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 195573 4358400 25.00 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
22 -Oct 2008
Signature
25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund