161231 07/08/2008 CITY OF CARMEL, INDIANA VENDOR: T361505 Page 1 of 1
ONE CIVIC SQUARE ETERI SHVETS CHECK AMOUNT: $53.00
CARMEL, INDIANA 46032 210 BLAIRSDEN AV
CARMEL IN 46032 CHECK NUMBER: 161231
CHECK DATE: 7/8/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1047 4358400 133652 53.00 REFUNDS AWARDS INDE
r
t ACTIVITY REFUND RECEIPT 7 Y: C r te
y w
N 2 3 0008
Receipt 133652
Payment Date: 06/17/2008 Household 3640
Home Phone: (317)574 -1493
Work Phone: (317)
ETERI SHVETS Carmel Clay Parks Recreation
210 BLAIRSDEN AVE. 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 53.00
Enrollee Name: Clara ShvetS Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186224 -01 Beautiful Ballerina 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 04/04/2008 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location: Dance Studio Class Dates: 06/16/2008 to 08/04/2008
Monon Center 12:OOP to 12:30P
M
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Beautiful Ballerinas 7.00 1.00 0.00 0.00 7.00
Cancel Reason: conflict
G/L C ode Description Account Number C st Cnt Description Account Number Amo
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 53.00 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 06/17/08 10:37:44 by CNA FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM'! CANCELLED ITEMS 53
TOTAL AMOUNT REFUNDED 53.00
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
P
i ACTIVITY REFUND RECEIPT
Receipt 133652
Payment Date: 06/17/08
Household 3640
Refund of 53.00 Made By JOURNAL -RF With Reference conflict
1
All refunds are subject to State Board of Accounts claim procedure and ma take 4- eeks to process. A check will be
issued. No cash or credit card refunds.
d &&41-1 l� 08
A thorized Signature Date Authorized Signature Da e
3L90. 300. y35Tq00
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.
Shvets, Eteri Terms
210 Blairsden Ave. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/08 133652 Refund 53.00
Total 53.00
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.
Shvets, Eteri Allowed 20
210 Blairsden Ave.
Carmel, IN 46032
In Sum of
53.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 133652 4358400 53.00 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
27 -Jun 2008
Signature
53.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ENTERED