169328 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362601 Page 1 of 1
ONE CIVEC SQUARE MICHELE ALLGIER CHECK AMOUNT: $73.00
CARMEL, INDIANA 46032 447 MONTGOMERY DR
o WESTFIELD IN 46074 CHECK NUMBER: 169328
CHECK DATE: 3/412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
-_1047 4358400 226291' 73.00 REFUNDS AWARDS INDE
t
ACTIVITY REFUND RECEIPT
Receipt 226291
Payment Date: 02/09/2009
Household 23912
Home Phone: (317)569 -3924
Work Phone: (317)844 -6885
MICHELE ALLGIER Monon Center
447 MONTGOMERY DRIVE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 73.00
Enrollee Name: Anna Allgier Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 396368 -02 Cheerleading 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/02/2009 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Program Room C Class Dates: 03/11/2009 to 04/29/2009
Monon Center 6:00P to 7:OOP
W
Carmel, IN 46032 Skip Days 04/08/2009
(317)848 -7275 Scheduled Sessions: 7
Fee Details: Fee Descri Amount Count Discount Sales Tax Total Fee
Cheer Class 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Conflict with schedule
GIL Code Descri Account Number Cst Cntr Desc riptio n Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 73.00 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 02/09/09 11:26:24 by LVA FEES CHANGED ON CANCELLED ITEMS 80.00
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 7.00
NET AMOUNT FROM CANCELLED ITEMS 73:007
TOTAL AMOUNT REFUNDED 73.00
NEW NET HOUSEHOLD BALANCE 0.00
Page i
r,
ACTIVITY REFUND RECEIPT
Receipt 226291
Payment Date: 02/09/2009
Household 23912
Refund of 73.00 Made By REFUND FINAN With Reference schedule conflict
Rewards Points refunded on this receipt: 0.70
Household Reward Point Balance: 8.70
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.
i Pnkr a q
Authorized sin ture Date Authorized Signature Date
y00. 1X. q oa
sc�Glou c_on
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.
Allgier, Michele Terms
447 Montgomery Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/09 226291 Refund 73.00
Total 73.00
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
1
Voucher No. Warrant No.
Allgier, Michele Allowed 20
447 Montgomery Drive
Westfield, IN 46074"
In Sum of$
73.00
c�
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 226291 4358400 73.00 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
26 -Feb 2009
Signature
Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund