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160452 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: T361382 Page 1 of 1 ONE CIVIC SQUARE NICK LENTS CARMEL, INDIANA 46032 14903 HORSESHOE DR CHECK AMOUNT: $30.00 CARMEL IN 46033 CHECK NUMBER: 160452 CHECK DATE: 6110/2008 D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 120246 15.00 REFUNDS AWARDS INDE 1047 4358400 123030 15.00 REFUNDS AWARDS INDE li 4 ACTIVITY REFUND RECEIPT M Receipt 123030 Payment Date: 06 Household Home Phone: (317)848 -4742 Work Phone: (317)502 -3090 Carmel Clay Parks Recreation NICK LENTS 1235 Central Park Drive East 14903 HORSESHOE DRIVE Carmel IN 46032 CARMEL IN 46033 Phone: (317)848 -727 Fed Tax ID #35- 60009 Enrollment Details CANCELLATION Refund Of 15.00 0.00 Alex Lents Fees +Tax Discount Prev PO!00 Cur P0.00 A mount Due Enrollee Name: 0.00 0.00 Activity Number: 186253 -01 Vocab -a- licious Enrollment Date: 04/0412008 (Cancelled) Primary Instructor: CCPR Staff Class Dates: 06/03/2008 to 0612412008 Class Location: Mogo Center C 9:OOA to 10:00A Tu Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 4 Cancel Reason: low enrollment Account Number Amount Account Number Cst C ntr Descri Enter Control Acct here 15.00 DR G/L Code Descri ption Enter Control Acct CNTRL Control Account (AP) 999999 Control Account (AP) 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 FEES CHANGED ON CANCELLED ITEMS 15.00 0.00 Processed on 06/02/08 14:12:31 by CNA DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES NET AMOUNT FROM CANCELLED ITEMS 15.00 TOTAL AMOUNT REFUNDED 15.00 0.00 NEW NET HOUSEHOLD BALANCE Refund of 15.00 Made By JOURNAL -RF With Reference low enrollment T JUN 0 3 2009 j BY: Page 1 j 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 Lents, Nick Date Due 14903 Horseshoe Drive Carmel, IN 46033 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 15.00 6/2/08 123030 Refund 15.00 5/29/08 120246 Refund Total 30.00 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. Lents, Nick Allowed 20 14903 Horseshoe Drive Carmel, IN 46033 In Sum of 30.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 123030 4358400 15.00 1 hereby certify that the attached invoice(s), or 1047 120246 4358400 15.00 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 -Jun 2008 Sign ur 30.00 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund