165221 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362045 Page 1 of 1
ONE CIVIC SQUARE MADELINE FINN
CARMEL, INDIANA 46032 13645 FRENCHMAN'S CREEK CHECK AMOUNT: $28.00
CARMEL IN 46032 CHECK NUMBER: 165221
CHECK DATE: 10/29/2008
D EPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
t
j L` 1U'47 4358400 195762 28.00 REFUNDS AWARDS INDE
c
ACTIVITY REFUND RECEIPT
=B 7Y:
Receipt 195762
Payment Date: 10/17/2008
Household 5164
Home Phone: (317)582 -0211
Work Phone: (317)
MADELINE FINN Monon Center
13645 FRENCHMAN'S CREEK Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 28.00
Enrollee Name: Madeline Finn Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 287395 -01 Cookie Dipping 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/21/2008 (Cancelled)
Primary Instructor: Cake and Crumbs
Class Location: Program Room C Class Dates: 11/13/2008 to 11/13/2008
Monon Center 6:OOP to 7:30P
Th
Carmel, IN 46032
(317)848 7275 Scheduled Sessions: 1
Cancel Reason: personal withdraw]
G/L Code Descri Account N C st Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 28.00 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 10/17/08 12:18:25 by MML FEES CHANGED ON CANCELLED ITEMS 28.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 28.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 28.00 Made By REFUND FINAN With Reference personal withdrawl
Page 1
ACTIVITY REFUND RECEIPT
Receipt 195762
Payment Date: 10/17/2008
Household 5164
All refunds are subje t to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N as or edit car refunds.
Authorized Signature D to Authorized Signature Date
4
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.
Finn, Madeline Terms
13645 Frenchman's Creek Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/08 195762 Refund 28.00
Total 28.00
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.
Finn, Madeline Allowed 20
13645 Frenchman's Creek
Carmel, IN 46032
In, Sum of
28.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members
Dept
1047 195762 4358400 28.00 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
28.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund