165418 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362063 Page 1 of 1
0 ONE CIVIC SQUARE MANUEL SANCHEZ CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 14133 CHARITY CHASE
WESTFIELD IN 46074 CHECK NUMBER: 165418
CHECK DATE: 10/2912008
DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 195596 60.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 195596 OCT 2 2 2008 I
Payment Date: 10/16/2008 f
Household 10049 BY
Home Phone: (317)582 -1405
Work Phone:
MANUEL SANCHEZ Monon Center
14133 CHARITY CHASE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 60.00
Enrollee Name: Michelle Sanchez Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286410 -02 Hip Hop 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 10/07/2008 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location: Dance Studio Class Dates: 10/25/2008 to 12/20/2008
Monon Center 1:45P to 2:30P
Sa
Carmel, IN 46032 Skip Days 11/29/2008
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: low enrollment
G/L C ode Description Accou Number Cst C ntr DescrripS Account Numbe Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 60.00 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 12:49:02 by LVA FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 60.00
TOTAL AMOUNT REFUNDED 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By REFUND FINAN With Reference low enrollment
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ACTIVITY REFUND RECEIPT
Receipt 195596
Payment Date: 10/16/2008
Household 10049
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.
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Authorized I nature Date Authorized Signature Date
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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.
Sanchez, Manuel Terms
14133 Charity Chase Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/16/08 195596 Refund 60.00
Total 60.00
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.
Sanchez, Manuel Allowed 20
14133 Charity Chase
Westfield, IN 46074
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
I
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 195596 4358400 60.00 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
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund