164249 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361900 Page 1 of 1
ONE CIVIC SQUARE KIM GONZALEZ
CARMEL, INDIANA 46032 3534 GOLDEN GATE DR CHECK AMOUNT: $30.00
WESTFIELD IN 46074
CHECK NUMBER: 164249
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 30.00 REFUNDS AWARDS INDE
F.;
ACTIVITY REFUND RECEIPT
Receipt 186703 1U'�;CF1TX7-gD
Payment Date: 09/10/2008
Household 14331 SEP 1 g
Home Phone: (317)732 -4211 2�0$
Work Phone:
BY:
KIM GONZALEZ Monon Center
3534 GOLDEN GATE DR. Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 30.00
Enrollee Name: Drew Gonzalez Fees Tax Discount Prev Paid Our Paid Amount Due
Activity Number: 286265 -01 Magic Kitchen 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/15/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room C Class Dates: 09/20/2008 to 10/11/2008
Monon Center 10:OOA to 11:OOA
Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr De Account Num A mount
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 09/10/08 13:26:29 by CNA FEES CHANGED ON CANCELLED ITEMS 30.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 30.00
TOTAL AMOUNT REFUNDED 30.00'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 186703
Payment Date: 09/10/08
Household 14331
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.
A Q Lo T n-IC.r Og
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.
Gonzalez, Kim Terms
3534 Golden Gate Dr. Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/10/08 186703 Refund 30.00
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.
Gonzalez, Kim Allowed 20
3534 Golden Gate Dr.
Westfield, IN 46074
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 186703 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
23 -Sep 2008
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund