166756 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: T361822 Page 1 of 1
s r, ONE CIVIC SQUARE AMANDA KALLNER
CARMEL, INDIANA 46032 17751 VILLAGE BROOKE DR EAST CHECK AMOUNT: $18.00
NOBLESVILLE IN 46062
CHECK NUMBER: 166756
CHECK DATE: 12110/2008
Q EPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT D ESCRIPTION
1047 4358400 185141 18.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT F- 14 f
Zppg
Receipt 185141 DEC Q 1
Payment Date: 09/02/2008
Household 21346
Home Phone: (703)953 -1435
Work Phone:
AMANDA KALLNER Monon Center
17751 VILLAGE BROOKE DRIVE EAST Carmel IN 46032
NOBLESVILLE IN 46062
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 18.00
Enrollee Name: Abigail Kallner Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 286135 -01 Scarecrow Making 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/18/2008 (Cancelled)
Class Location: Room B Class Dates: 09/20/2008 to 09/20/2008
CCPR Office 2:OOP to 3:OOP
760 Third Ave. SW Suite 100 Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: wrong time
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 18.00 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 09/02/08 17:23:24 by ARH FEES CHANGED ON CANCELLED ITEMS 18.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
;NET AMOUNT FROM CANCELLED,;ITEMS' 7_ 18.00=`
TOTAL`AMOUNTREFUNDED... E.,..:L18.00lS
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 18.00 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 185141
Payment Date: 09/02/08
Household 21346
Authorized Signature Date Authorized Signature Date
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.
Kallner, Amanda Terms
17751 Village Brooke Drive East Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/2/08 185141 Refund 18.00
Total 18.00
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.
Kallner, Amanda Allowed 20
17751 Village Brooke Drive East
Noblesville, IN 46062
In Sum of
18.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fdnd
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 185141 4358400 18.00 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
5 -Dec 2008
Signature
18.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund