166299 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: T362185 Page 1 of 1
ONE CIVIC SQUARE CAITLYN MACK
e 14647 HANDEL DRIVE CHECK AMOUNT: $185.00
CARMEL, INDIANA 46032
APT 122 CHECK NUMBER: 166299
CARMEL IN 46032
CHECK DATE: 11/24/2008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 199285 185.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 199285 NOV 1 2 2008
Payment Date: 11/05/2008
Household 22727
Home Phone: (317)575 -1097 BY:-
Work Phone: (317)274 -5000
CAITLYN MACK Monon Center
14647 HANDEL DRIVE APT. 122 Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 50.00
Enrollee Name: Caitlyn Mack Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 287309 -02 Beginning Calligraph 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 10/07/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Art Studio Class Dates: 11/06/2008 to 12/18/2008
Monon Center 6:OOP to 7:OOP
Th
Carmel, IN 46032 Skip Days 11/27/2008
(317)848 -7275 Scheduled Sessions: 6
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Calligraphy NR 7.00 1.00 0.00 0.00 7.00
Cancel Reason: personal withdrawl
CANCELLATION Refund Of 135.00
Enrollee Name: Caitlyn Mack Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 287335 -02 Dancing as the Stars 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 10/0712008 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Dance Studio Class Dates: 10/29/2008 to 12/17/2008
Monon Center 8:OOP to 9:OOP
W
Carmel, IN 46032 Skip Days 11/26/2008
(317)848 -7275 Scheduled Sessions: 7
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Dancing Workout Resi 7.00 1.00 0.00 0.00 7.00
Cancel Reason: personal withdrawl
Page 1
ACTIVITY REFUND RECEIPT
Receipt 199285
Payment Date: 11/05/2008
Household 22727
G/L Code Description Account Number Cst Cntr Description Account Number Amount
.999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 185.00 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 11/05/08 07:47:37 by MML FEES CHANGED ON CANCELLED ITEMS 199.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 185.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 185.00 Made By REFUND FINAN With Reference
Rewards Points refunded on this receipt: 1.40
Household Reward Point Balance: 21.30
All refunds are bject to Boa5il of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No or c ref s.
thorized ig ture Date Authorized Signature Date
4 3`2 43.5 X5/0 G
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.
Mack, Caitlyn Terms
14647 Handel Drive Apt 122 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/08 199285 Refund 185.00
Total 185.00
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.
Mack, Caitlyn Allowed 20
14647 Handel Drive Apt 122
Carmel, IN 46032
In Sum of
185.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 199285 4358400 185.00 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
17 -Nov 2008
Signature
185.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund