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162939 08/20/2008 CITY OF CARMEL, INDIANA VENDOR. T361700 Page 1 of 1 ONE CIVIC SQUARE BOB QUINN CARMEL, INDIANA 46032 14053 SEDONA DRIVE CHECK AMOUNT: $18.75 CARMEL IN 46032 G CHECK NUMBER: 162939 CHECK DATE: 8/20/2008 DEPARTMENT ACCOUNT P NU MBER I NUMBER AMOUNT DESCRIPTION 1047 4358400 18.75 PARKS DEPARTMENT REFU y i I I I ACTIVITY REFUND RECEIPT Receipt 172218 Payment.Date: 08108/2008 Household 17298 Home Phone: (317)849 -0441 Work Phone: (317)805 -0707 BOB QUINN Monon Center 14053 SEDONA DR Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 18.75 Enrollee Name: Julia Quinn Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 186358 -02 Intro to Irish Dance 11.25 0.00 0.00 11.25 0.00 Enrollment Date: 07115/2008 (Cancelled) Primary Instructor: CCPR Staff Class Location: Dance Studio Class Dates: 07/08/2008 to 08/26/2008 Monon Center 7:OOP to 7:45P Tu Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 8 Fee Details: Fee Description_ Amount Count Discount Sales Tax Total Fee Intro to Irish Dance 11.25 1.00 0.00 0.00 11.25 Cancel Reason: Instructor health GIL Cod Description Account Number Cst Cntr Description__.__,______.___ Account Nu mber A mount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 18.75 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 08/08/08 14:23:31 by BJC FEES CHANGED ON CANCELLED ITEMS 30.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 SURCHARGE APPLIED AGAINST CANCELLED FEES O 11.25 NET AMOUNT FROM CANCELLED ITEMS 18.75 TOTAL AMOUNT'REFUNDED 18.75 NEW NET HOUSEHOLD BALANCE 0.00 Page #f 1 ACTIVITY REFUND RECEIPT Receipt 172218 Payment Date: 08/08/08 Household 17298 Refund of 18.75 Made By REFUND FINAN With Reference instructor's health All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be _iss ed. No cash or credit card refunds. Authorized Signature Date Authorized Signature Date H11 3 Page 2 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; k n d of service, units, price peemt edat service rendered, by whom, rates per day, number of hours, rate per hour, Payee Purchase Order No. Terms Quinn, Bob Date Due 14053 Sedona Dr Carmel, IN 46032 Invoice Description Amount Invoice or bill (s)) Date Number (or note attached invoices) O 18.75 818108 172218 Refund Total 18.75 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. Quinn, Bob Allowed 20 14053 Sedona Dr Carmel, IN 46032 In Sum of 18.75 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT4/TITLE AMOUNT Board Members Dept 1047 172218 4358400 18.75 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 14 -Aug 2008 Signature 18.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund