163404 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: T361776 Page 1 of 1
ONE CIVIC SQUARE CARRIE SMITH
CARMEL, INDIANA 46032 461 AUTUMN DR CHECK AMOUNT: $196.00
CARMEL IN 46032 CHECK NUMBER: 163404
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMB INV OICE NUMB AM OUNT DESCRIPTION
1047 4358400 178373 196.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
1 �C I �F
Receipt 178373 AUG 2 0 ZOOS
Payment Date: 08/18/2008
Household 21179
Home Phone: (317)201 -8622 BY'
Work Phone:
CARRIE SMITH Monon Center
461 AUTUMN DR Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 98.00
Enrollee Name: Carrie smith Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 287364 -01 Ballroom Dancing 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/14/2008 (Cancelled)
Primary Instructor: Rob Jenkins
Class Location: Fitness Studio B Class Dates: 09/12/2008 to 11/07/2008
Monon Center 8:OOP to 9:OOP
F
Carmel, IN 46032 Skip Days 10/31/2008
(317)848 7275 Scheduled Sessions: 8
Cancel Reason: personal reason
CANCELLATION Refund Of 98.00
Enrollee Name: bernie smith Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 287364 -01 Ballroom Dancing 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/14/2008 (Cancelled)
Primary Instructor: Rob Jenkins
Class Location: Fitness Studio B Class Dates: 09/12/2008 to 11/07/2008
Monon Center 8:OOP to 9:OOP
F
Carmel, IN 46032 Skip Days 10/31/2008
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: personal reason
G /L_Cod_e_ Description_ Account_Number_ C_st_Cntr_ Description--------------_- Account Number_.____ ___Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 196.00 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.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 178373
Payment Date: 08/18/08
Household 21179
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 08/18/08 09:31:47 by MML FEES CHANGED ON CANCELLED ITEMS 196.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 196.00-
TOTAL AMOUNT REFUNDED 7T 96 00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 196.00 Made By REFUND FINAN With Reference personal reason
All refun e s ect.t State oard of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu l o fire t car efunds.
Auth n Si nature D to Authorized Signature Date
0
1- 7, 3 F 7' 00 5 f/JI
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.
Smith, Carrie Terms
461 Autumn Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/18/08 178373 Refund 196.00
Total 196.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Smith, Carrie Allowed 20
461 Autumn Dr
Carmel, IN 46032
In Sum of
196.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 178373 4358400 196.00 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
25 -Aug 2008
Signature
196.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund