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155735 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: T355947 Page 1 of 1 ONE CIVIC SQUARE JAMI GRAVES CARMEL, INDIANA 46032 13795 OAKWOOD COURT CHECK AMOUNT: $135.00 CARMEL IN 46032 CHECK NUMBER: 155735 CHECK DATE: 1/23/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 82782 135.00 REFUNDS AWARDS INDE i i t- ACTIVITY REFUND RECEIPT Receipt 82782 Payment Date: 01/08/2008 Household 513 Home Phone: (317)844 -9879 JAN Y 2 Work Phone: JAMI GRAVES Carmel Clay Parks Recreation 13795 OAKWOOD CT. 1235 Central Park Drive East CARMEL, IN 46032 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 135.00 Enrollee Name: Megan Graves Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 386316 -01 Dancing Little Star 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 12/28/2007 (Cancelled) Primary Instructor: Int Talent Academy Class Location: Dance /Fitness Room Class Dates: 01/11/2008 to 02/29/2008 Monon Center 4:30P to 5:20P F Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 8 Cancel Reason: low enrollment G/L Code Descri Account Number C st Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 135.00 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 01/08/08 15:09:32 by BJC FEES CHANGED ON CANCELLED ITEMS 135.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 135.00 TOTAL AMOUNT REFUNDED 135.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund Type: Refund from Finance Refund of 135.00 Made By JOURNAL -RF With Reference low enrollment Page 1 ACTIVITY REFUND RECEIPT Receipt 82782 Payment Date: 01/08/08 Household 513 All refunds are subject to State Board of Accounts claim procedure an ay take 4- weeks to process. A check will be issu No cash credit card refunds. Aut riz Signature Date Aut orized Signa 3('s Q 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. Jami Graves Terms 13795 Oakwood Ct. Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/8/08 82782 Refund 135.00 Total 135.00 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, Jami Graves Allowed 20 13795 Oakwood Ct. Carmel, IN 46032 In Sum of 135.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 82782 4358400 135.00 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 16 -Jan 2008 a Sign ur 135.00 Business Servic anager Cost distribution ledger classification if Title claim paid motor vehicle highway fund