163853 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T361827 Page 1 of 1
j- ONE CIVIC SQUARE MARY ROBISON
CARMEL, INDIANA 46032 1347 EAST BEACON WAY CHECK AMOUNT: $100.00
CARMEL IN 46032
CHECK NUMBER: 163853
CHECK DATE: 9/1712008
DEPARTMENT ACCOUNT PO NUM INVOI NUMBER AMOUNT DESCRIPTION
1047 4358400 182992 100.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 182992
Payment Date: 08/30/2008
Household 21076
Home Phone: (317)695 -8830
Work Phone: (317)690 -1432
MARY ROBISON Monon Center
1347 EAST BEACON WAY Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 100.00
Enrollee Name: Ben Robison Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286255 -01 Train the Brain 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/12/2008 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Program Room A Class Dates: 09/04/2008 to 10/16/2008
Monon Center 11:30A to 12:15P
Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 7
Cancel Reason: low enrollment
G/L Code_ Description Accou Num ber Cst Cntr Description Accounl Number__.._._, ____Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 100.00 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/30/08 20:33:40 by CNA FEES CHANGED ON CANCELLED ITEMS 100.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 100.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 100.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 182992
Payment Date: 08/30/08
Household 21076
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
624a� 1 9/a 0$ Iig&k q 3, v
Auth6rized Signature Date Authorized Signature Date
Page 2
i
ACTIVITY REFUND RECEIPT
Receipt 182992
Payment Date: 08/30/2008
Household 21076
Home Phone: (317)695 -8830
Work Phone: (317)690 -1432 S E P 0 3 2008
MARY ROBISON Monon Center
1347 EAST BEACON WAY Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 100.00
Enrollee Name: Ben Robison Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286255 -01 Train the Brain 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/12/2008 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Program Room A Class Dates: 09/04/2008 to 10/16/2008
Monon Center 11:30A to 12:15P
Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions. 7
Cancel Reason: IOW enrollment
G/L Code Descri Acco Number C st Cntr Description Accou Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 100.00 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(30108 20:33:40 by CNA FEES CHANGED ON CANCELLED ITEMS 100.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 100.00
TOTAL AMOUNT REFUNDED 100.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 100.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 182992
Payment Date: 08/30/08
Household 21076
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.
/0
Auth6rized Signature Date Authorized Signature Date
3cvo. LI-35YgOO
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.
Terms
Robison, Mary
Date Due
1347 East Beacon Way
Carmel, IN 46032
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
100.00
8130108 182992 Refund
Total 100.00
I 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.
Robison, Mary Allowed 20
1347 East Beacon Way
Carmel, IN 46032
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 182992 4358400 100.00 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
4 -Sep 2008
v
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund