168650 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: T362478 Page 1 of 1
s ONE CIVIC SQUARE ANJALI PARULEKAR
CHECK AMOUNT: $196.24
CARMEL, INDIANA 46032 13520 VERSAILLES DRIVE
CARMEL IN 46032
CHECK NUMBER: 168650
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 196.24 REFUNDS AWARDS INDE
I
ACTIVITY REFUND RECEIPT
Receipt 223051
Payment Date: 01/29/2009
Household 4031
Home Phone: (317)569 -1383 JAN 2 9 2009
Work Phone: (317)277 -3391
ANJALI PARULEKAR Monon Center
13520, VERSAILLES DRIVE Carmel IN 46032
s
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 180.00
Enrollee Name: Anjali Parulekar Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 383015 -02 One -On -One Lessons 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/04/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Pool Private Lesson2 Class Dates: 01/14/2008 to 08/20/2008
Monon Center 8:OOA to 7:OOP
M,Tu,W,Th,F,Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 189
Cancel Reason: Lesson didn't work out -she wants the money to go towards her childrens lessons.
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 196.24 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 CREDIT HOUSEHOLD BALANCE 16.24
Processed on 01/29/09 11:53:32 by ALC FEES CHANGED ON CANCELLED ITEMS 180.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT'FROM CANCELLED'ITEMS... 180:00==.
HH BALANCE APPLIED TO THIS RECEIPT 16.24
",TOTAL °AMOUNT.REFUNDED 196:24
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 196.24 Made By REFUND FINAN With Reference
Page 1
ACTIVITY REFUND RECEIPT
Receipt 223051
Payment Date: 01/29/2009
Household 4031
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
i sued. No cash or credit card refunds.
a Authorized Signature 6ate 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.
Parulekar, Anjali Terms
13520 Versailles Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1129109 223051 Refund 196.24
Total 196.24
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.
Parulekar, Anjali Allowed 20
13520 Versailles Drive
Carmel, IN 46032
In Sum of
c
196.24
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 223051 4358400 196.24 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
2 -Feb 2009
Signature
196.24 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund