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171036 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362764 Page 1 of 1 ONE CIVIC SQUARE GINNY PASKOFF CHECK AMOUNT: $15.00 CARMEL, INDIANA 46032 10888 ONXY CARMEL IN 46032 CHECK NUMBER: 171036 CHECK DATE: 4/16/2009 DEPARTMENT ACCOUNT PO NUMBER INV OICE N UMBER AMOUNT DESCRIPTION 1047 4358400 15.00 REFUNDS AWARDS INDE t� tt ACTIVITY REFUND RECEIPT Receipt 242131 Payment Date: 03/24/2009 APR 0 Household 25048 7 2009 Home Phone: (317)733 -1933 Work Phone: s GINNY PASKOFF Monon Center 10888 ONYX Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 15.00 Enrollee Name: Chloe Paskoff Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number. 395136 -01 Easter Egg Decoratin 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 03/11/2009 (Cancelled) Primary Instructor. CCPR Staff Class Location: Program Room C Class Dates: 03/31/2009 to 03/31/2009 Monon Center 4:OOP to 4:45P Tu Carmel, IN 46032 Scheduled Sessions: 1 (317)848 -7275 Cancel Reason: low enrollment 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 15.00 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 03/24/09 10:07:02 by CNA FEES CHANGED ON CANCELLED ITEMS 15.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 15.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 15.00 Made By REFUND FINAN With Reference low enrollment Page 1 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. Paskoff, Ginny Terms 10888 Onyx Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/24/09 242131 Refund 15.00 Total 15.00 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. Paskoff, Ginny Allowed 20 10888 Onyx Carmel, IN 46032 In Sum of 15.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 242131 4358400 15.00 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 10 -Apr 2009 Signature 15.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund